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A washout period of at least several weeks is advisable, though specific recommendations cannot be made given limited data

Geneva, Switzerland: World Health Organization

FOUNTAIN SQUARE WITH MARIEN CHURCH The Marienkirche is a church in Frankfurt (Oder) in Germany

But failed to achieve FDA approval, leaving it in research-grade limbo

Obviously this ignores all those who require life long treatment due to other causes of B12 deficiency (of which there are many), thereby potentially causing great harm to the vast majority of their B12 deficient patients

The cobalamin enters the bloodstream directly and is available to tissues within hours