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They are compounded preparations of nutrients and amino acids
If you have a Vitamin B12 deficiency and pernicious anaemia which disrupts your ability to absorb B12 from your food, regular intramuscular injections of Vitamin B12 will bypass the need for gut absorption and deliver the vitamin directly into your bloodstream
doi:10.1007/s12603-010-0330-4
Vitamin B12 in human colostrum and milk: quantitation of the vitamin and its binder and the uptake of bound vitamin B12 by intestinal bacteria
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