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Typical laboratory refrigeration temperatures are approximately 4C

It may be that having this regime would have a beneficial impact on your trigeminal neuralgia - neurological symptoms take some time to repair properly and having the loading doses then (I suspect) the 'usual' three monthly jabs may not be sufficient to effect proper neurological repair

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Laughlin GA, Barrett-Connor E, Bergstrom J

So, you can be confident that your body is receiving the full amount of vitamins and nutrients it needs without any loss in quality