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Nothing I've read or the neurologist I saw read has convinced me oral b12 works as well for most people with PA or another absorbtion problem

Cautions: Do not give B12 injections to someone with a known hypersensitivity to cyanocobalamin, hydroxocobalamin, or cobalt

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Choline deficiency genuinely impairs hepatic fat export and is associated with hepatic steatosis

Lyophilized research products should be stored in a cool, dry environment prior to preparation to help maintain long-term stability and purity