Both peptides ship lyophilized and are reconstituted before use, most commonly with bacteriostatic water, and both should be stored cold and protected from repeated freeze-thaw cycles
Ataxia causes the observation that drunk people are clumsy, sway back and forth, and often fall down
Individuals at higher risk include older adults with reduced stomach acid production, people with gastrointestinal conditions affecting absorption, strict vegans, and those taking medications like metformin or proton pump inhibitors
However, once opened, the vial should be used within 28 days to maintain safety and efficacy, after which it should be discarded
Oral Supplements For those with dietary deficiency and normal absorption, oral B12 supplements can be effective