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Swap the Nacho cheese sauce for a sprinkle of the three-cheese blend, and choose black beans instead of refried beans

doi: 10.1124/jpet.118.255885 136 RadyBLiuJHuangHBakajIQiJLeeSPet al

[DOI] [PubMed] [Google Scholar] 189.Li XY

Pharmacokinetics: Cyanocobalamin is administered intranasally, orally, and parenterally, while hydroxocobalamin is administered only parenterally. Once absorbed, vitamin B12 is highly bound to transcobalamin II, a specific B-globulin carrier protein and is distributed and stored primarily in the liver as coenzyme B12. The bone marrow also stores a significant amount of the absorbed vitamin B12. This vitamin crosses the placenta and is distributed into breast milk. Enterohepatic recirculation conserves systemic stores. The half-life is about 6 days (400 days in the liver). Elimination is primarily through the bile; however, excess cyanocobalamin is excreted unchanged in the urine

Working with a care team that includes a dietitian, behavioral counselor, and healthcare provider can set you up for long-term success