The unmixed freeze dried powder is stable and tolerates cool, dark storage without strict refrigeration for short periods, though the fridge is always a safe default
PLoS ONE 9(6):e99086 Gaba J, Sharma S, Joshi S, Gill P (2018) Gas chromatography-mass spectrometric analysis of essential oil, nutritional and phytochemical composition of Ajwain Seeds ( Trachyspermum ammi
A physician, however, will be familiar with the potential dangers and can decide whether to prescribe B12 shots based on his or her knowledge of the patients medical history
The medication works by enhancing insulin secretion in a glucose-dependent manner, suppressing glucagon release, and slowing gastric emptying
But a persistent metallic taste in the mouth could indicate something more serious, for example, problems with liver or kidney function, an allergy to certain foods, or even anaphylaxis, a life-threatening allergic reaction