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If you bought it from a UK supplier then it's much more likely that your they have had them stored at room temperature for days/weeks/months

Drainage tubes may be put in place after your surgery as well

I use this along with tirzepeptide, and it has helped maintain my weight and a boost of energy

Sublingual B12, which bypasses the gastrointestinal tract, is the least invasive and potentially most cost-effective option, especially for individuals with impaired absorption, making it an attractive alternative for long-term and patient-friendly management (Vidal-Alaball et al., 2006)

The NIH Vitamin B12 Fact Sheet for Health Professionals notes that oral supplementation is appropriate for many patients who do not have intrinsic factor deficiency

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