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Description
This document was developed with the primary intent of protecting clinical trial participants from potential adverse effects of new compounds

Therefore, B12 from food or oral supplements will be poorly absorbed if: There is low stomach acid due to use of a Proton Pump Inhibitor (PPI) There is low intrinsic factor

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"Cyanocobalamin Drug Usage Statistics, United States, 20062016"

Moisture can reduce peptide stability
