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Nothing in this article constitutes a claim that any compounded product is clinically proven, has been evaluated in clinical trials, or produces the same results as any FDA-approved drug

A lack of this important nutrient can cause tiredness, brain changes, and big red blood cells

The lyophilized powder format preserves the drug's integrity, while the recommended storage in cool, dry conditions extends its lifespan up to 24 months

Much of the research framing treats it as an orally administered compound, and in practitioner circles it circulates in oral/sublingual forms (capsules, or the reconstituted solution taken sublingually)