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Hydroxocobalamin is preferred because it binds more tightly to serum proteins, creating a depot effect that allows slower release and longer duration of action
The antibodies also block a critical protein called intrinsic (in-TRIN-sic) factor
The injectable format is genuinely awkward here: a 50 mg vial lasts only ten days at 5 mg/day, so you are buying three vials a month to inject a compound that is orally active
When you get a skinny shot every week, exercise and eat right, then you should start seeing your weight decrease.
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