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This year (2017) I am told, even after an appeal by my physician and my self with supporting documentation confirming my PA diagnosis, that they will not cover any form of B12 vitamin replacement

do not shake vigorously, as this can cause aggregation or degradation

I am no expert on any of this but read this forum every day

Ethics statement The studies involving humans were approved by Research Ethics Committee, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

The salt form does not change what the peptide does once it reaches target tissues

Getting some sun and eating a balanced diet are important for maintaining good vitamin D levels