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Perhaps its because of how they mix it with b12

General Lipotropic B12 Mixtures Known to provide the following attributes: Offers co-enzymes that are required for proper fat metabolism Energy Boost Sharpens Thinking Improves Mood Provides building blocks for essential components in cell walls for normal cell and brain function Helps control cholesterol levels and gallstones Helps emulsify cholesterol and detoxify amines Helps emulsify cholesterol and detoxify amines Supports healthy skin tone and strong nails Promotes healthy hair growth Helps control estrogen levels Helps with transforming carbohydrates into energy LipoB12 Offers co-enzymes that are required for proper metabolism of fats, and have the ability to remove fat from the liver

318 , F298F314 (2020)

Do not use sterile water it lacks the bacteriostatic preservative