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People with gastrointestinal conditions Conditions like celiac disease, Crohn disease, or other malabsorption syndromes already impair B12 absorption

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This can happen with improper storage, particularly if the medication was left out of the fridge for too long or exposed to extreme temperatures

Zhong, Nanosuspension drug delivery system: preparation, characterization, postproduction processing, dosage form, and application, in Nanostructures for Drug Delivery, Elsevier, 2017, pp

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