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Patient Selection for Combination Therapy Choosing who gets combination therapy with Tiaminal B12 is detailed

Gastrointestinal effects represent the primary concern

may marginally improve stability Avoid: Tap water, distilled water without sterilization, or solutions containing oxidizing agents Reconstitution Protocol Allow lyophilized vial to reach room temperature before opening Clean vial septum with alcohol swab Add diluent slowly along vial wall (not directly onto powder) Allow powder to dissolve without shaking

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