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Its as simple as that

Andres E, Dali-Youcef N, Serraj K et al

Heres the whole thing in plain terms: What they did: built and validated a lab-grade method to accurately measure 5A1MQ in the blood, then dosed rats two ways intravenous (IV) and oral and tracked exactly how much showed up in circulation over time

I had been looking for a Tirzepatide that also included B12, and this company checked that box, as well as the affordability box

The authors suggest that either methyl-B12 and adenosyl-B12 should be given together, or either cyano-B12 or hydroxo-B12 on their own, both of which can be converted into both active forms