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Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine

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Why Refrigeration Extends Compounded Semaglutide Shelf Life Storing compounded semaglutide at refrigerator temperatures (3646F) slows the breakdown of the peptide molecule, extending usability to 6090 days depending on the specific compounding formula

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