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I inject 1000mcg of cyanocobamalin every three weeks and have taken 1 Folic Acid 400g and 1 Iron Ferrous Fumarate 210mg for more years than I can remember because at the age of 17 back in 1959 I had two thirds of my stomach removed because of a burst peptic ulcer so my circumstances are rather outside the "normal"

After a few injections I could walk again Just what the doctor ordered

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The long answer: Refrigeration is critical because it dramatically slows down two separate but equally problematic processes

These include people with type 2 diabetes or higher blood sugar, people with a history of cancer, and people with eye conditions like diabetic retinopathy