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They skip the digestive system, so the vitamin goes straight into the blood

Additional experimental models incorporating glucose tolerance testing and fasting biomarker analysis show no significant changes in plasma glucose or insulin levels following exposure to AOD 9604

Or bought in a bundle of 14 shots then works out to be 25 each shot

J Clin Endocrinol Metab 88 : 43714378 Segerlantz M et al

Summary Introduction Clinical-Trials Observational Studies B12 Malabsorption Degradation of B12 under Experimental Conditions Yamada et al.s 2008 Study of B12 in Fortified Beverages and Multivitamins Kondo et al