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It was developed by PCCA (Professional Compounding Centers of America) as a sublingual base that forms an emulsion when exposed to saliva

These findings are still emerging, and much of the research to date comes from animal and laboratory studies

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The reason is that injections are more easily absorbed by the body, particularly if you have underlying conditions that may lead to an inability to efficiently absorb the vitamin, such as Irritable Bowel Syndrome or Celiac Disease

At the high end, switching from a 5 mg vial to a 60 mg vial can cut your per-milligram cost by more than half