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It is considered the energy formation form of B12 that naturally occurs within the cells of the body during the biochemical citric acid cycle

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In order for vitamin B12 to be absorbed, it binds with an important protein called intrinsic factor

Reference: Kleinman HK & Sosne G (2012)

In addition, the authors note that the patients without Hunner lesions who had improvement did not improve to the same degree as patients with Hunner lesions

It should only be handled by qualified laboratory professionals and must not be misrepresented, misused, or mislabeled as a drug, food, cosmetic, or medical device