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Stopper Damage: Visible coring (small pieces of rubber inside the solution) from repeated punctures.

Cyanocobalamin (vitamin B12) as a metabolite, activates the metabolism of carbohydrates, proteins and lipids, promotes the synthesis of labile groups in the formation of choline, methionine, nucleic acids, creatine, the accumulation in erythrocytes of compounds with sulfhydryl groups

Not all medications and nutrients are small enough to get absorbed or need breakdown via gastric enzymes for activation for the sublingual route, but whenever possible there is a benefit to using this route as it bypasses potential damage/absorption issues in the GI tract

Optimized B12 levels are especially helpful during periods of high physical stress or after illness when your body needs to recover faster and more completely