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If the stomach does not have enough acid or if you might be suffering from digestive issues, your body will not absorb the right amounts of B12 well

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A compounding pharmacy will create that specific version for that patient. (Another type of compounding pharmacy produces large batches of drugs, typically when there is a drug shortage.) A product cant be legally compounded unless its a component of an FDA-approved drug or the FDA puts it on its permissible for compounding list, explains Zettler

To help preserve its effectiveness, the medication should be stored consistently in a refrigerator at a temperature between 28C (3646F) and should not be frozen