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the FDA itself hasn't formally loosened restrictions yet. The vote came from the PCAC, not the FDA, and their recommendation is strictly advisory, not legally binding. According to Holt, nothing changes for consumers right now simply because the PCACs vote is an advisory one
PubMed Philp, D., Badamchian, M., Scheremeta, B., Nguyen, M., Goldstein, A.L., & Kleinman, H.K
Academic Press Inc
Discussion Significance of the study To our knowledge, this is the most comprehensive network meta-analysis comparing the efficacy of SL, IM, and oral routes of administration of vitamin B12 in patients with vitamin B12 deficiency
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