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- Omnitrope (Sandoz): 24 to 30 months refrigerated depending on presentation

It is widely available through licensed pharmaceutical suppliers and is the diluent most commonly specified in UK trial protocols and compounding guidance from the Specialist Pharmacy Service (SPS)

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Vitamin B12 plays a critical role in supporting red blood cell formation, neurological health, and DNA synthesisdeficiencies can lead to fatigue, mood changes, and cognitive decline

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High homocysteine levels can also be caused by low vitamin B12 levels because vitamin B12 is the cofactor needed by the enzyme responsible for converting homocysteine to methionine