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doi:10.1136/jnnp.2007.133025

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Store the reconstituted peptide at 2-8 degrees Celsius (standard refrigerator temperature)

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In sepsis, pathophysiological changes include sympathetic nervous system activation, and excessive release of catabolic hormones (catecholamines and glucocorticoids) and pro-inflammatory cytokines

That matters if you have trouble absorbing B12 from food or pills, which is more common than most people realize