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Every 3-6 months, individuals should honestly evaluate their current protocols: Are symptoms controlled

No. Saline contains 0.9% sodium chloride and is used for tonicity-matched applications. Bacteriostatic water contains 0.9% benzyl alcohol as a preservative and contains no sodium chloride. The two are not interchangeable research protocols specify one or the other based on the requirements of the compound being reconstituted and the experimental design

This is not a reason to dismiss the compound it is a reason to be honest about what we know and dont know

The loss of enterohepatic recirculation would definitely cause an additional loss of 5mcg of B12 that is not recovered from bile