What compounding pharmacies typically provide: Sterile preparation under USP clean-room conditions Benzyl alcohol at the 0.9% USP specification Lot-numbered vials with expiration dating Glass vial packaging (typically) Where compounding pharmacy documentation varies: COA availability ranges from full five-test panels to sterility-plus-benzyl-alcohol-only confirmation Third-party testing may or may not be standard some pharmacies rely on internal QC Endotoxin testing and particulate matter testing are sometimes performed per-lot, sometimes on a sampling schedule Documentation format is less standardized than FDA-registered manufacturer COAs Community sources describe compounding pharmacy bacteriostatic water as a middle tier in the documentation spectrum
Ann Transl Med 7(4):71 de Vries AJ, van der Worp H, Diercks RL, van den Akker-Scheek I, Zwerver J (2015) Risk factors for patellar tendinopathy in volleyball and basketball players: a survey-based prospective cohort study
doi:10.1002/nau.23777
I don't doubt in the least that juanpablo is suffering from something, but I'd be surprised if B12 had anything to do with it
It has three stages: Stage 1: Bright abnormal redness seen on cheeks giving slapped cheek appearance
COA, HPLC, and MS documentation provide complementary evidence for quality-control review, chromatographic purity, and molecular-identity support