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This is because stomach acid is needed to release vitamin B12 bound to proteins in food

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Reconstitution: Add 3.0 mL bacteriostatic water 166.7 mg/mL concentration Typical Range: 50100 mg taken 2-3 Times Per Week (gradual increase recommended) Measurement Guide: 1 unit (U-100 syringe) = 0.01 mL 1.67 mg Administration: Subcutaneous injection, once daily Storage: Lyophilized: Store frozen Reconstituted: Refrigerate (28C) and use within 14 days Dosing & Reconstitution Guide Educational guide for reconstitution and daily dosing Standard / Gradual Titration Approach (3 mL = 166.7 mg/mL) Frequency: NAD+ is typically administered 2-3 Times Per Week via subcutaneous injection