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The arginate salt form addresses multiple degradation pathways simultaneously

It is the only one with decades of clinical research behind it

Chronic inflammation is probably the biggest driver, whether from gut infections like SIBO or candida, autoimmune conditions, or persistent immune activation

Nat Metab 8 , 13501367 (2026)

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(4) If the exact value would change management, the clinician may need to ask whether dilution or another confirmatory step is available, since "greater than 1,000 ng/L" can hide a B12 level that is markedly elevated