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Much of the research framing treats it as an orally administered compound, and in practitioner circles it circulates in oral/sublingual forms (capsules, or the reconstituted solution taken sublingually)
A recent study has examined the effect of cobalamin supplementation on the outcomes of treatment for feline patients with severe cobalamin deficiency and histories suggesting chronic gastrointestinal disease.5 In this study, serum concentrations of methylmalonic acid normalized following parenteral cobalamin supplementation, indicating that cobalamin deficiency was the cause of the high methylmalonic acid in serum
When combined with nutrition and lifestyle strategies, B12 injections can further support metabolic performance
+ Can HPLC purity alone characterise a copper complex
That association is a reason to mention the result to your doctor and have a repeat test, a full blood count and liver tests
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