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So when a medic says that someone with PA "can use the stored B12 in their liver", as far as I know, we simply don't know whether this is true or not

Drug manufacturers are required to have an expiry date on their products

I think that the UK uses hydroxocobalamin because it is not excreted as quickly as cyanocobalamin

As to the aches and pains, breathlessness etc, this could be due to B12 needing potassium to build RBC, so I would check out low potassium symptoms and eat a banana or maybe two until you have fathomed it out

Someone seeking enhanced fat loss might use both, with 5-amino-1mq handling the cellular metabolism side while AOD-9604 promotes direct fat breakdown