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B12 injections deliver hydroxocobalamin (the preferred formulation in the UK) or cyanocobalamin directly into muscle tissue, bypassing the gastrointestinal tract to ensure rapid absorption into the bloodstream

[DOI] [PubMed] [Google Scholar] [46].Rajasekaran NS, Connell P, Christians ES, Yan LJ, Taylor RP, Orosz A, Zhang XQ, Stevenson TJ, Peshock RM, Leopold JA, Barry WH, Loscalzo J, Odelberg SJ, Benjamin IJ, Human alpha B-crystallin mutation causes oxido-reductive stress and protein aggregation cardiomyopathy in mice

In addition, olive oil is rich in oleic acid, which has been associated in several studies with beneficial effects on IR, blood lipid profiles, and blood pressure (215)

Formulated with benzyl alcohol as a preservative, it is designed for multiple-dose withdrawals to safely prepare medications for injection

That does not make keto off-limits, but it does mean the approach requires more precision and monitoring