is taking vitamin b12 nasally and by injection Can’t swallow your tablet? Don’t quit., Most people think tablet = only option., That’s not true., If B12 tablets cause, 🤢 nausea, 👃 bad smell, 😖 metallic taste, 🤮 gag reflex, You still Mean Plasma Concentration time profile

When the problem is related to absorption, fortified foods or supplements may be needed, always according to guidance from a health professional

For patients failing to achieve optimal serum concentrations with maximally tolerated oral dosing, intramuscular administration of vitamin B 1 and vitamin D represents an alternative therapeutic strategy

Prevent dehydration by drinking fluids between meals (3060 minutes before or after meals)

NNMT inhibition as a therapeutic strategy has been explored in industry pharmaceutical pipelines (including a Pfizer program for non-alcoholic fatty liver disease that was reportedly discontinued in early clinical development), but no NNMT inhibitor has reached regulatory approval to date