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take it with water like any other capsule

During exercise of this nature, when the use of the acetyl group via the Krebs cycle is exceeding its production by the PDC reaction, carnitine buffers against acetyl-CoA accumulation by making acetylcarnitine in an enzymatic reaction, thereby providing free Co-enzyme A to maintain the Krebs cycle flux 33

They can provide guidance on proper injection technique, site selection, and any additional steps you can take to ensure a positive experience with B12 injections