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These pre-reconstituted vials do not require you to add bacteriostatic water

However, that will only happen if fatigue is caused by being B12 deficient before the shots are started

It makes you think that if something's S4 that it's actually approved as a prescription product, which in fact is entirely misleading

11 Our previous studies demonstrated that dental pulp stem cells possess immunomodulatory properties and interact with T cells, B cells, natural killer cells, monocytes, macrophages, dendritic cells, and neutrophils

That preservative is the entire reason BAC water exists it inhibits the growth of bacteria, which means a single vial can be punctured multiple times over weeks without becoming a contamination risk