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The Neelakantan 2018 paper showed strong oral absorption in cell uptake (Caco-2) assays, which is why most research community use is by mouth instead of by injection

many times the total amount a patient would receive weekly from this injection

Yet in practice, they produce completely different outcomes for completely different purposes, and choosing the wrong one means months of wasted effort targeting the wrong mechanism entirely

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Many people, especially older adults, vegetarians, or those with certain health conditions, may not get enough of it