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They use a simple log, physical or digital, that records every open vial by puncture date and calculated discard date
The disease is called pernicious ( deadly ), because before B12 shots were available, people had no choice but to die
These are not minor caveats they are the central limitation of the current evidence
References Sikiric P, Seiwerth S, et al
The legal BAC limit for driving 0.08% in 49 US states, 0.05% in Utah applies absolutely, regardless of what was eaten before or during drinking
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