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That single distinction explains why people handle the two waters differently after opening

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Injections are particularly appropriate for those with: Pernicious anaemia, an autoimmune condition affecting B12 absorption Conditions affecting the stomach or small intestine, such as Crohns disease or coeliac disease Those who have had gastric surgery or bariatric procedures Strict vegans and vegetarians not meeting their B12 needs through food or oral supplements For those who can absorb B12 normally, oral supplements are generally an effective and well-evidenced alternative to injections

Why it was included in the FDA ban Injectable GHK-Cu was banned because of a high risk for immune reactions and impurities during the compounding process