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When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed

This allows the data to be exchanged across EHRs and health IT systems while retaining their meaning

The clinical numbers are compelling

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Patients should not attempt to inject themselves unless a healthcare provider has specifically instructed and trained them, and has confirmed that home administration is safe and appropriate