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Further, NICE and the BNF says that if there are neurological symptoms present, then every other day injections are the recommended treatment, so all the points you make about B12 being stored and sufficient are not really relevant

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Travel storage Transporting bacteriostatic water whether sealed or punctured introduces temperature and physical-handling variables that stationary storage avoids

Inhibition of USP7 activity selectively eliminates senescent cells in part via restoration of p53 activity

Starting at 2.5mg weekly for four weeks, then escalating in 2.5mg increments every four weeks to minimize gastrointestinal side effects (nausea, vomiting, diarrhea)