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The highlighted region indicates the distinctive triple-proline motif (P3-P4-P5) that confers exceptional structural rigidity and acid stability

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Once reconstituted with bacteriostatic water, the solution must be refrigerated at 2-8C and typically remains stable for up to four weeks

In these cases, treatment should be initiated as soon as possible.[] The etiology of vitamin B12 deficiency typically includes malabsorption-related causes such as autoimmune gastritis (pernicious anemia), celiac disease, inflammatory bowel disease, surgical gastrectomy, gastric bypass, and ileal resection