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As long as it's stored away from direct sunlight and extreme heat, it's perfectly fine at a controlled room temperature (typically around 20C to 25C or 68F to 77F)

Certain groups are more likely to develop a B12 deficiency, including: Vegans and vegetarians B12 is found primarily in animal products

however, in those cases, patients also received drugs known to be associated with cardiac valvular fibrosis