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Most patients report that early nausea and digestive changes improve significantly once their body adjusts to the medication

Cardiovascular risk: The 677CT variant is associated with higher homocysteine and, in pooled analyses, a small increase in cardiovascular risk one reason we often measure homocysteine directly when assessing risk

But if you have nerve damage from your lack of B12, it could be permanent

For short-term storage, a dedicated laboratory refrigerator at 2C to 8C is acceptable

Do not freeze the medicine

Vitamin B12, also called cobalamin, is a water-soluble vitamin critical to various physiological processes