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Bile duct carcinomas usually metastasize to the regional lymph nodes, lungs and peritoneum, kidneys, heart, adrenal glands, eye, and bone.1, 60 Bile duct carcinoma can be intrahepatic or extrahepatic, but rarely occurs within the gallbladder

The Perfect B protocol runs in three-month cycles: Dosing ramps progressively from 6-8 units in month one to 10 units daily by month three, followed by a two-month break before the next cycle

monitored ten subjects receiving 1,000 g hydroxocobalamin injections

Under the action of the low pH (HCl) and pepsin, cobalamin is separated from the proteins to which it is connected in the food [19]