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You have atrophic gastritis, an inflammation of the stomach lining

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Shaking the vial, storing it at room temperature for extended periods, or using non-sterile water for reconstitution can destroy the compound before it's ever used

In a randomized, double-blind, placebo-controlled trial in 2,919 participants (65 years) with elevated blood concentrations of homocysteine, supplementation with vitamin B 12 (500 g/day) and folic acid (400 g/day) for two years did not decrease the risk of osteoporotic fracture despite reductions in homocysteine (120, 121)