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Vegetarians and vegans: Since most foods that contain B12 naturally are animal products like meat, eggs and dairy, vegetarians and vegans are at greater risk of developing a B12 deficiency

This sterile solution is made for intramuscular or slow intravenous use under medical supervision

Cold temperatures significantly slow down any potential chemical degradation and further suppress the metabolic activity of any stray microbe that might have found its way in

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It comes in pills or a nasal spray

The same label also advises that the vial should be swirled to mix and not shaken