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Bacteriostatic water is used because it contains a small amount of benzyl alcohol, which allows the vial to be entered more than once over a period of time

Kato et al., 1995

This allows the B12 to bypass the digestive system and any malabsorption issues

High enough to be bacteriostatic (inhibiting bacterial growth) without being bactericidal (killing bacteria outright at first contact)

Its really about selecting the right technology for your utilitys needs. In California, some utilities may even need a blend of both systems: State law now requires utilities practicing direct potable reuse (as defined by California) to pair RO with the ozone-BAC process from CBAT