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Decreased vitamin B12 intake may result in clinical symptoms after 5-10 years [3]
Reconstitute at your destination when you have access to refrigeration again
No mention of course that beauty salons can administer exactly the same drug (aka vitamin) for aesthetic reasons and charge people inflated amounts for an essential treatment for those with Pernicious Anaemia
reuteri NCIMB 30242 taken twice daily for six weeks reduced LDL-cholesterol, apoB-100, and non-HDL-cholesterol levels compared with placebo yogurt in a trial that included 114 individuals with high cholesterol levels

The only way to bypass this gastric defect is to get the B12 straight into the blood