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Avoid repeated freeze-thaw cycles and keep materials in their original sealed container until ready for use

In fact, the absorption of B12 requires that you have adequate stomach acid (among many other factors), which means that if you are taking acid blockers for reflux you are likely reducing your absorption of B12

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It's important to remember that individual responses differ, and factors like overall health, diet, and the severity of any B12 deficiency can influence how quickly changes become noticeable