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A sterilized vaginal speculum was inserted, and then a double sheathed, sterile pipelle endometrial suction curette (Cooper Surgical, Trumbull, CT, USA) was passed through the cervix to collect an endometrial biopsy, taking care to avoid contact with the vaginal wall and cervix

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Its very rare to have high levels of B12

When the product is not stored properly for example, in a cold area the formula can crystalize