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Best taken in the morning with food to maximize absorption and avoid sleep disturbances from B12s energizing effect

Sanz-Cuesta et al., 2020

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Managing and Preventing Adverse Reactions To stop bad reactions, start with the right screening and teaching patients

Thank you all for your kind words I finally got to speak with a locum GP today, the GP that ordered the blood tests, didn't order a B12 serum after saying he would, so I'll not know if the vials were deteriorating

Laboratory analysis using HPLC (high-performance liquid chromatography) is the only reliable method, and you do not have one in your kitchen