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Oral administration of cobalamin is as effective as parenteral Advantages of oral supplementation are comfort, ease of administration, and cost

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Synthetic Cyanocobalamin for Reliable Supplementation The active ingredient, cyanocobalamin, is a laboratory-produced form of vitamin B12 that works in the body the same way as naturally occurring vitamin B12 found in fish, seafood, dairy products, and egg yolk

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While this effect typically diminishes as the body adjusts, it provides indirect evidence that the nitric oxide pathways are responding to the peptide