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For long-term storage, -20 C freezer storage is the conservative research default unless the supplier gives a different compound-specific instruction

However, the peptide characteristics that enable absorption through the gastric mucosa, including its stability in acidic environments and resistance to enzymatic degradation, suggest it should maintain activity when absorbed through nasal mucosa as well

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Treatment typically involves hydroxocobalamin 1mg intramuscular injections three times weekly for two weeks (loading dose), followed by maintenance injections every two to three months

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