a patients were taught to self inject b we could buy injectable B12 OTC This paper from 1983 focuses on pernicious anaemia rather than the many other causes of B12 deficiency, much like today, patients who do not have a definitive diagnosis of PA are considered to be in need of less treatment (or none at all) despite the severity of symptoms being exactly the same
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Cyanocobalamin (Vitamin B12) - Contraindications
The article on how long peptides last at room temperature quantifies this degradation rate, and the answer is sobering for anyone who has been careless with storage