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A naturopathic doctor will inject the b12 directly into the muscle so it may bypass the digestive system to be absorbed into the bloodstream

Mechanisms include: Restoration of endothelial nitric oxide synthase (eNOS) Upregulation of VEGF and FGF-2 (fibroblast growth factor 2) Reduction of oxidative stress and cytokine-induced apoptosis BPC-157 preserved endothelium-dependent vasodilation via upregulation of eNOS and suppression of vascular inflammation. Gwyer Findlay et al., Peptides 4

From here, the vitamin enters nearby blood vessels without relying on digestion

Other patients experience decreased libido, anxiety, or fatigue post-cycle

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then 800 mcg/day, Weeks 34