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Having a B12 deficiency for a long period of time can make you more at risk for health conditions such as dementia and infertility, so it is important to make sure that your levels are properly balanced

Additionally, biophysical stimuli, including temperature, low-intensity pulsed ultrasound, and electric field, can regulate cellular behavior and facilitate tissue repair

Radiat Oncol 12(1):150, 2017

These aren't trivial changes

Some sources extend this to 60 days for vials stored properly with bacteriostatic water
