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Description
It is not clear if or how much absorption occurs by the oral mucosa route owing to inadequate studies comparing sublingual with encapsulated B 12 .3,4 The sublingual formulations may achieve partial absorption directly through the oral mucosa, but it is conceivable that part of the B 12 may be bound by HC immediately in the saliva and then carried down to be absorbed in the GI tract by IF or by diffusion

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They also reported a segmental breakdown of the myelin sheath

How Frequently Should Lipotropic Injections Be Taken
