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Mechanical agitation foams the solution and can damage the peptide's tertiary structure
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The human leukocyte antigen (HLA) region of chromosome 6 contains genes associated with an elevated risk of MS, including HLA-DR2 + , HLA-DQ6, DQA 0102, DQB1 0602, HLA-DRB1, DR15, DRB1*1501, and DRB1*1503
They may recommend adjusting the dosage, using a different form of B12, or exploring other supplementation methods, such as oral supplements or patches
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