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doi: 10.1093/jxb/ers100 7 AttachaS.SolbachD.BelaK.MoselerA.WagnerS.SchwarzlnderM.et al

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Selenoprotein P is the primary form of selenium present in plasma, accounting for more than half of the plasma selenium concentration [126]

This allows the medication to be absorbed directly into the bloodstream through the sublingual mucosa

You are an older adult: Stomach acid production tends to decline with age, which can make it harder to absorb B12 from food and raises the risk of deficiency
