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Direct injections are also the best solution if you cant keep down oral supplements due to vomiting, nausea, or digestive issues

An aminoisobutyric acid (Aib) substitution at position 8 resists degradation by the DPP-4 enzyme

Refrigeration of the product may cause darkening of the solution due to the riboflavin content

Injections in or around the joint can be used to treat pain related to inflammation of the joint lining, or synovium (synovitis)

Usually 24 to 36 months , depending on storage conditions and packaging

It is used to treat not only vitamin B12 deficiency, but also other conditions, such as pernicious anemia and diabetes