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A fascinating study including over 500 patients revealed that IGF-1 concentrations were independently associated with insulin sensitivity accounting for 10.8 % of its variation

Its the most stable form, because the cyanide molecule has the greatest attraction to the cobalamin, thus protecting it from conditions like high temperatures

Sci Rep 12 , 20130 (2022)

If you cant convince your doctor to prescribe it, we made it available to order here: Hydroxocobalamin (Also known as Hydroxycobalamin, Hydroxo B12, OH-Cbl, or B12a) Hydroxocobalamin, a predominant form in B12 rich foods, is an inactive type of B12