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A strong jet of water striking the powdered lyophilizate directly can mechanically damage (denature) the sensitive peptide structure

According to the National Heart, Lung, and Blood Institute, this absorption failure makes B12 injections the primary and most effective treatment, as they deliver the nutrient directly where your body can use it, bypassing the digestive system entirely

According to NICE guidance and standard UK clinical practice, patients with confirmed B12 deficiency and neurological symptoms typically require initial treatment with hydroxocobalamin injections

Vitamin deficiencies can cause a myriad of problems