As noted in the comments, negative results of the study could be associated with a low-risk patient population (primary prevention), the form of omega-3 acids used (mixture), or a low dose used in the study
TC2 is degraded within a lysosome, and free B 12 is released into the cytoplasm, where it is transformed into the bioactive coenzyme by cellular enzymes
doi: 10.1038/s41467-019-08337-4 76 ChangWLLeeWRKuoYCHuangYH
When a trainer or a coach buys those vials in bulk and resells them or hands them to clients, the research only disclaimer does not transfer protection to the patient
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Rinse: Rinse thoroughly with warm water