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When taken orally, B12 may not absorb efficientlybut an injection bypasses the digestive system and goes directly into the bloodstream, ensuring maximum effectiveness

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International Journal of Biological Macromolecules, 86: 362375 Boogaerts T, Quireyns M, de Loof H, Bertels X, van Wichelen N, Pussig B, Saevels J, Lahousse L, Bonmariage P, Hamelinck W, et al