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It's the form supported by the largest body of research, it's exceptionally stable in storage, which matters for consistent potency across batches, and it's the form most clinics and pharmacies use as a result

doi: 10.3109/02699052.2010.536196

Over an entire vial, the cumulative dead space can mean your last dose comes up slightly short

Reduced contamination risk The benzyl alcohol content helps limit bacterial growth within the vial between uses, which matters when a diluent is being accessed repeatedly with a needle or pipette over time in a laboratory environment

[3] This is a known effect and not cause for concern

Vitamin B12 Deficiency and Mood Disorders: A deficiency in vitamin B12 can contribute to a variety of neurological and psychiatric symptoms, such as mood changes, irritability, and even depression