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Antioxidants can be in either the oxidized or reduced states

According to the dermatologist's remark

Among others, In one case, high-dose oral supplementation was found to be at least as effective as parenteral supplementation, and the authors venture to say based on a studythat it is even superior when it comes to maintenance doses, since the levels of methylmalonic acid that remained slightly above the upper limit decreased more slowly in the group that received intramuscular injections

But remember, everyones body is different, so results may take a bit longer for some