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Quite often the build up to and worry about the injection is worse than the actual injection itself, which is over very quickly

The role of oxidative stress in the pathogenesis of multiple sclerosis: The need for effective antioxidant therapy

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Most are shipped as a lyophilized (freeze-dried) powder, which is the most stable form for long-term storage

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If you have malabsorption syndrome (such as short bowel syndrome, certain bariatric surgery patients, chronic pancreatitis, or celiac disease that severely impairs nutrient uptake), you might need these injections indefinitely to prevent recurrent deficiencies