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Always confirm the source provides USP-grade sterile water intended specifically for injection rather than a non-sterile alternative

Nevertheless, there is no clear indication that biochemical or functional vitamin B 12 deficiency would occur due to decreased serum vitamin B 12 that is caused by these medications, as indicated by circulating homocysteine and methylmalonic acid concentrations, or to the hematologic and neurological manifestations of clinical deficiency [93]

doi: 10.1016/j.biopha.2023.114431

Salcaprozate sodium (SNAC) is included as a delivery-support ingredient to help protect actives through the GI environment and support consistent oral uptake