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In general, peptide solutions remain stable for 3 or more weeks at +4C and 3-4 months at -20C

Gentle warming at room temperature is the only safe method

In the UK, the most commonly used form of injectable vitamin B12 is hydroxocobalamin injection

Gut hormone PYY(3-36) physiologically inhibits food intake

B12 is a water-soluble vitamin your body uses to: Make red blood cells (which carry oxygen to your tissues) Keep your nervous system functioning properly Help your body turn food into usable energy Your body can't make B12 on its own you get it from animal-based foods (meat, eggs, dairy) or supplements

Because early mobilisation is itself a key part of my recovery protocol (for reasons covered in the next section when I discuss DVT risk), any factor that reduces a patients willingness or ability to get moving after surgery is a problem