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Certain health conditions If you have a stomach or small intestine condition such as celiac disease or Crohn's disease, you may not be able to absorb enough vitamin B12 from food

doi: 10.1038/sj.jid.5700951

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This is because the amino sequence for IGF peptides are so fragile that the alcohol in bacteriostatic water will damage the sequence and render the entire vial ineffective after just a couple of days

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The Reference Daily Intake (RDI) of Vitamin B12 is about 2.4 mcg, but slightly higher for those who are pregnant or nursing