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Lyophilized (unreconstituted): Stable at room temperature for several weeks

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Leibovitz has published numerous scientific articles in the field of nutrition and the book Carnitine: The Vitamin Bt Phenomenon (Dell Publishing Company, NY, 1984)

Oral B12 absorption depends on stomach acid levels and the presence of intrinsic factor, both of which can be unreliable

The most successful therapy, besides being efficient in reducing noise-induced cochlear damage, should be easy to administer (preferably orally), have a good safety profile, reduced drug acquisition costs, and few or no side effects

Fermentation is increasingly preferred due to its environmental benefits, cost efficiency, and ability to provide high-quality, scalable production