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It becomes susceptible to a range of degradation processes, including: Hydrolysis water molecules break peptide bonds within the molecule Oxidation exposure to oxygen can alter amino acid residues Aggregation peptide molecules may clump together, reducing bioavailability Microbial contamination liquid solutions support bacterial growth more readily than dry powders These processes begin immediately upon reconstitution, which is why adherence to the protocol-specified storage conditions and in-use shelf life is critically important
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Your healthcare provider can also diagnose B12 deficiency based on your medical history and physical exam
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