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Plateaus happen when metabolism adapts to caloric changes
In a study of 10 healthy male volunteers, omeprazole, in doses of 20 mg-40 mg per day, caused a significant decrease in the oral absorption of methylcobalamin, vitamin B12
Taking vitamins orally or relying on your digestive system to absorb all of the vitamins is not as effective as injections because a certain percentage of the vitamins will be lost through the digestive process and expelled as waste
It also has a tyrosine residue to replace the first amino acid at the N-terminus, which researchers consider to help increase the stability of the peptide