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Carnitines metabolism in the gut microbiota involves several key enzymes that convert carnitine into various metabolites, primarily trimethylamine (TMA)

10.1007/s00268-012-1663-4 146 VukojevicJ.SiroglavicM.KasnikK.KraljT.StancicD.KokotA.et al (2018)

ISTE 3a: Evaluate authenticity of scientific sources

Its hard to say exactly how long B12 shots last in the fridge compared with a cabinet, but this should help extend the shelf life of your injectable B12 after opening

[1] [2] Consult your medication's guide or healthcare provider for specific instructions