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People with active cancer, thyroid disorders, or history of peptide hypersensitivity should not use it
This is why bacteriostatic water, rather than plain sterile water, is the standard diluent: its preservative content allows the vial to be safely accessed multiple times without the risk of microbial contamination that plain sterile water carries once a seal is broken
there was a drop of B12 on the end of the needle, maybe that's another reason too
However, absorption decreases significantly as doses increase, and individuals with compromised gut health may absorb only 1-2%