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The sublingual application also provides better bioavailability by bypassing the hepatic first-pass metabolic process

If thats the case, then I do recommend doing a complete blood count and chemistry panel to rule out underlying dehydration, anemia, infection (e.g., an increased white blood cell count), viral infections (FeLV, FIV testing, etc.), or metabolic problems

THANK YOU, Tiffany, for your focus, intuition, and wellness knowledge

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Conditions affecting any stage of this absorption pathwayincluding pernicious anaemia (an autoimmune condition destroying intrinsic factor-producing cells), Crohn's disease, coeliac disease, or surgical removal of stomach or ileal tissuecan significantly impair B12 absorption despite its water-soluble properties

Clinical parameters of wound healing in patients with advanced illness