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included a 6-week off-treatment follow-up period [5] [6] a design choice consistent with, though not explained by, that slow washout

2009 May 15;24(7):979-83

If it does not dissolve after 5 minutes of gentle swirling, possible causes include: degraded peptide (check storage history and expiration status ), contaminated water (use a fresh vial of bacteriostatic water), or water temperature (cold water from the refrigerator dissolves peptides more slowly than room temperature water)

The Smartest First Step: Know Your Levels Before you commit to either path, the most sensible thing you can do is find out what your B12 levels actually are