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Still, for certain studies where absolute maximal bioavailability isn't the primary endpoint, or where continuous, lower-level systemic exposure is acceptable, the oral form of 5 Amino 1mq can be a perfectly viable, even preferable, option
PubMed Bock-Marquette I, Saxena A, White MD, et al
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Unfortunately, many never receive a root cause diagnosis for various reasons including the poor quality of tests for pernicious anemia, the incompetence and/or disinterest of many doctors in looking for a cause for the deficiency etc