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This is an unusual mechanism of drug interactions, since usually displacement from albumin will expose more drug to be metabolized (leading to re-equilibration)

These additives can sometimes interfere with absorption or add an unnecessary burden to the very organs you are trying to support

Transient elevation in acute or severe illness Acute infection, a systemic inflammatory state, hospitalization, or other severe illness can push B12 up temporarily

Unless the reconstituted peptides stability requirements mandate refrigerated or frozen storage, in which case follow the reconstituted compounds specific storage temperature guidance

If so, you may be in need of a boost of vitamin B12