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The lipotropic agents (methionine, inositol, choline) are pH-sensitive and oxidise rapidly once exposed to air and moisture, which is why the 72-hour window exists rather than the 28-day stability window you'd see with straight methylcobalamin

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Do not heat the vial

Then as I was driving home, I got a weird sensation in my torso which lasted on and off for about two days it was an internal electric / buzzing / vibrating feeling