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Hydrogen sulfide is produced as a product of normal cellular metabolism by the CBS and CTH enzymes

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This extreme heat causes rapid and irreversible peptide degradation

Antacids for Heartburn or GERD, such as PPIs (like Nexium, Prilosec, or Prevacid), and H2 blockers such as Zantac, Pepcid, or Tagamet can increase your risk of B12 deficiency

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For long-term stability, refrigeration is recommended after reconstitution