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4) Blood Disorders Certain conditions affecting blood and bone marrow including some leukaemias and myeloproliferative disorders such as polycythaemia vera can cause elevated B12 due to increased production of B12binding proteins by white blood cells

This isn't surgery, but you should adopt a similar mindset of cleanliness

Nevertheless, customers concerned about temperature-sensitive shipments should make arrangements to prevent prolonged exposure to sub-freezing or excessively hot conditions, such as packages sitting in mailboxes, trucks, or on porches for extended periods

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For repeat buyers and larger EU supply requests

Keep in original packaging to protect from light exposure