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B12 injections go straight into your muscle and bloodstream, so your body takes up most of the dose, while oral B12 has to pass through your digestive system first, where only a small fraction of a tablet gets absorbed

Doctors and patients need to know the right dose

[91] Since only bacteria and some archea possess the genes and enzymes necessary to synthesize vitamin B 12 , plant and algae sources all obtain the vitamin secondarily from symbiosis with various species of bacteria, [5] or in the case of fermented plant foods, from bacterial fermentation

it simply steps in and says, slow down. It signals your cells to stay balanced so your mitochondria can preserve NAD+ and allow it to stick around longer, which is exactly what you want if you want to age well