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I keep my B12 at room temperature and warm it a little by rubbing the ampule between my palms

Important Information about Generic Cyanocobalamin: Generic cyanocobalamin contains the same active ingredient as the brand-name Vitamin B12 Injection and is required to meet the same safety, effectiveness, and quality standards

Moving too slowly leaves efficacy on the table

doi: 10.1038/35001622

A clinician who repeats those figures to a patient is setting up a disappointment and a refund request