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Description
It seems the other brand of ampules you need a prescription

Vitamin B12 Deficiency Your body stores 1,000-2,000 times as much vitamin B12 as you'd eat in a day, so it can take many years to see symptoms of vitamin B12 deficiency

Even some meat-eaters dont absorb it very well (4Trusted Source, 5Trusted Source)

American Pharmacists Association

For example, nitrification is highly sensitive to pH, often requiring a pH above 7.0 for optimal performance, as the process consumes alkalinity

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