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Endothelial cell cystathionine lyase expression level modulates exercise capacity, vascular function, and myocardial ischemia reperfusion injury

So the practical takeaway is not oral is better or SC is better. It is: pick one route, follow the documented per-dose figure for the vial you have, and keep the route constant so that whatever you observe is not confounded by a mid-stream route change

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Tirzepatide activates both, offering enhanced anti-inflammatory effects

Such measures remove the need for long-term administration of cyanocobalamin