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cyano-B12 decreased the frequency of recurrent aphthous ulcers in patients with normal (defined as a B12 status of 140 ng/l) as well as with low levels of B12 at baseline

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Succinyl-CoA also is required for hemoglobin synthesis.2,4 B12 digestion and absorption requires the adequate synthesis of hydrochloric acid, proteases (enzymes that break down proteins and peptides), and intrinsic factor (a glycoprotein secreted in the stomach)

You dropped the vial If the vial is intact and the stopper did not dislodge, the solution is probably fine

However, it's always advisable to read and consult with your doctor