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After biofilm formation, all the supernatant was removed and biofilms stained with 0.4% (v/v) LIVE/DEAD stain in PBS (BacLight Bacterial Viability kit
doi: 10.1016/j.cvsm.2009.03.003

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It has been chemically modified to remove the ability to stimulate bone marrow (which makes red blood cells) while retaining the ability to activate tissue repair

In short, if you experience worse tingling after B12 injections, it might result from the B12 deficiency itself, rather than the treatment or injections