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Nyholm E, Turpin P, Swain D, Cunningham B, Daly S, Nightingale P, et al: Oral vitamin B12 can change our practice

Oral supplements are an option, but injections provide faster and more effective absorption by delivering vitamins directly into the bloodstream, bypassing the digestive system

132 Another controlled trial that included 120 subjects with tinnitus and low cochlear blood flow related to Mnire disease found 150 mg of Pycnogenol per day for six months improved cochlear blood flow and reduced subjective measures of tinnitus compared with no treatment

The vitamin is absorbed through the digestive system after ingestion, where it is then transported to the bloodstream