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Once transitioned into a liquid state, the peptide blend becomes highly sensitive to thermal breakdown and mechanical shear stress

Nat Rev Neurosci (2008) 9(1):4656

Other reactions warranting urgent GP contact include: Unexplained muscle weakness or cramping Persistent vomiting or severe abdominal pain Signs of hypokalaemia (low potassium) during initial treatmentmuscle weakness, irregular heartbeat, or severe fatigue In patients with severe, longstanding B12 deficiency, rapid correction can occasionally precipitate hypokalaemia as new red blood cells are produced, consuming available potassium

This can affect its stability and shelf-life

Novo/Inversago