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If a significant amount of the vitamin B12 in your blood is inactive, a blood test may show that you have normal B12 levels, even though your body cannot use much of it

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Other conditions that might need B12 shots include: Crohns disease Celiac disease Gastric bypass surgery Pancreatitis These issues can stop the body from getting enough B12

This is the powder you receive in your vial, and it is why bacteriostatic water (the diluent that puts that water back in) sits at the very center of scientific peptides workflows