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In some cases, the cloudy appearance is caused by microbubbles, slow hydration or a solution that is temporarily too concentrated

Ball L, Ball R, Pratt RD (2001) An assessment of thimerosal use in childhood vaccines

Over-the-counter B12 supplements are widely available in the UK in various forms, including: Cyanocobalamin tablets the most common form in supplements Methylcobalamin sometimes marketed as more bioavailable, though evidence for superiority over standard oral tablets is limited Sublingual (under-the-tongue) preparations no proven advantage over standard oral tablets has been established Combination B-vitamin complexes Patients should be aware that most supplements are regulated as food products , not medicines, and quality can vary between brands

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