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This small compositional difference is the sole reason the two solutions behave so differently after the vial is opened the benzyl alcohol acts as a built-in defense against bacterial contamination whenever the stopper is pierced

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People who have had gastric surgery or part of their bowel removed may be at risk for developing a B12 deficiency

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Figure 2: Photographs of the face of a HIV positive patient with an esophageal ulcer of 6 cm (about 3.2 inches) who used the dietary supplementation with vitamin B12, B6, folic acid, melatonin and amino acids in five different time periods (with permission) [8,9]

However, the rate at which the B12 is released can be a little slower meaning that if you need B12 quickly, injections will be the better option