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Some studies suggest that lower vitamin B12 levels appear more frequently in people with colorectal cancer, especially during early stages

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This dorsal/ventral side distinction may be related to the relatively scarce dorsal side arcade collateral network

What this implies: if the vial remains sealed, in a cool, dry, dark place (ideally under refrigeration or freezing, with minimal humidity), you can reasonably expect 2-3 years of viability in the lyophilized state