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Oral versus intramuscular administration of vitamin B12 for vitamin B12 deficiency in primary care: a pragmatic, randomised, non-inferiority clinical trial (OB12)

Use bacteriostatic water (0.9% benzyl alcohol) rather than sterile water, and inject it slowly down the vial wall rather than directly onto the powder

The synthetic peptides protective action seems to work by boosting the bodys own antioxidant system

Yet, it is unknown if this formulation would exert primarily local effects on the digestive system, or if it would work systemically