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There are other large RCTs where similarly high doses of vitamin B 12 have been given together with other micronutrients

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Inositol plays a role in regulating insulin and glucose metabolism, while choline supports liver function and fat breakdown

Once absorbed, it is converted to the active coenzyme formsmethylcobalamin and adenosylcobalaminas the body requires them

Alternatively (and this is the approach I take for many patients), if you are experiencing significant symptomatic improvement then you can just continue to take the B12 shots indefinitely

Yes, but classical swallowed peptides are largely destroyed by gastric acid and digestive enzymes