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Thats because vitamin B12 is bound to protein and can only be released by digestive substances in the stomach (hydrochloric acid and gastric protease) to be absorbed

Homocysteine, B vitamins, and cardiovascular disease: a Mendelian randomization study

I use cyanocobalamin because I can get it over the counter with no prescription in Canada

[1] [3] The unique aspect of this formulation lies in its high concentration and the option for preservative-free preparation, which may be suitable for patients with sensitivities or allergies to common preservatives

This product is supplied exclusively for laboratory research and must not be used for human or veterinary applications

Big Benefits of B12 Shots The perks of B12 shots may surprise many, as the advantages stack up