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The NIH reports that only about 10 micrograms of a 500-microgram oral supplement is actually absorbed in healthy people due to limitations of stomach acid and intrinsic factor

One commenter urged CMS to separate HAI measures from the broader Safety of Care measure group, allowing them to stand alone and improving the interpretability and actionability of these metrics for hospitals and the public alike

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Theres also the option of B12 injections from which you absorb around 10 per cent of the dose and this doesnt vary as much as with oral B12 intake (Temova Rakua et al., 2022)

Avoid copper peptide products if pregnant, planning pregnancy, or nursing until consulting with your obstetrician

This provides approximately 4mcg/kg for a 160lb individual, falling within the effective clinical range