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Some compounded methylcobalamin products may specify storage at room temperature, refrigerated, or frozen prior to mixing

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Its not just about preference its all about something called intrinsic factor If your body doesnt produce enough intrinsic factor, you wont absorb B12 properly from food or tablets no matter how many you take

Sometimes ileostomy is also done at this time, which is a procedure that brings the ileum, or end of the small intestine, through an opening in the abdominal wall to allow intestinal waste to drain out of the body

Not approved for human consumption