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And in case you wondering how real these Ohio prices are, 46brooklyns Ben Link was involved in creating the Ohio tool we are utilizing, so we can confirm that those prices represent the real reimbursement Ohio pharmacies can expect to receive for their ingredient cost for dispensed drugs in accordance with Ohio Administrative Code 5160-9-05 (or namely the NADAC price, or WAC if there is no NADAC)

The only problem is that B12 is not that easily found in food very few foods are B12-rich and they are essentially meat, eggs, and fermented foods

doi: 10.1136/jnis-2025-023246 16

Digestive enzymes and stomach acid can break down peptides before they are fully absorbed, which reduces the amount that reaches target tissues