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PMID: 19891010

What I learned from reading the book with the annoying title: Could it Be B-12? is that neurological symptoms show first and before theres any indication in the blood work

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(37) combined the solubilization properties of a surfactant with the ascorbic acid antioxidant property that protects drugs from degradation by light, heat, dissolved oxygen and other radical producing species, by means of synthesizing an ascorbyl-decanoate surfactant