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You can, but the vial must be used within 24 hours because sterile water contains no antimicrobial preservative

Adding water reactivates hydrolysis pathways, and the clock starts ticking immediately upon reconstitution

(3) The compounds mechanism of action involves multiple pathways including modulation of neurotrophic factor signaling, effects on the Sonic Hedgehog (Shh) signaling pathway, protection against excitotoxicity, and enhancement of neuroplasticity

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Neurological symptom recovery , such as relief from tingling or "brain fog," may take longer as nerves require time to heal