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These include: An essential amino acid that helps the liver process fatty acids, and helps lower cholesterol

While very high oral doses (1,000 to 2,000 mcg) can achieve some passive absorption without intrinsic factor roughly 1% of the dose is absorbed passively many clinicians prefer the reliability and rapid correction offered by injections in this population

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Anything more than that, and you need to speak up

The off-period gives the body a chance to reset baseline NNMT activity