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If you have tried oral B12 before and felt no change, this may be part of the reason, and it is worth mentioning to your provider

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Product Features Manufactured in the United Kingdom Formulated with USP Water for Injection (WFI)-grade water WFI-grade water manufactured under ISO 9001 and ISO 13485-certified quality management systems Contains 0.9% benzyl alcohol as a preservative Each finished batch independently tested for sterility Each finished batch independently tested for bacterial endotoxins Supplied in a 20ml borosilicate glass vial Bromobutyl rubber stopper Tamper-evident aluminium cap and seal Full batch and lot traceability Lot-specific Certificate of Analysis Suitable for laboratory reconstitution and analytical workflows Supplied strictly for laboratory research use Storage Instructions Store at 15C to 25C Store in a clean, dry location Protect from direct sunlight and excessive heat Keep the vial sealed until required Handle only under suitable laboratory conditions Important Notice This product is supplied strictly for laboratory research and analytical purposes only

Was it above 77F

Before taking L-CARNITINE XS 4000 or any dietary supplement seek advice from your physician if you are unaware of your current health condition, have any pre-existing medical condition(s), are taking any medication(s), planning any medical procedure, pregnant, nursing or contemplating pregnancy