It has attracted significant, sustained attention in in-vitro research focused intensely on connective tissue, skeletal muscle fibers, tendons, ligaments, and highly specialized gastrointestinal tissue models
[30] For example, cyanocobalamin can be converted to its analog cobalamins via reduction to B 12s , followed by the addition of the corresponding alkyl halides, acyl halides, alkene or alkyne
Patients considering this treatment should understand its regulatory and evidential status fully, and should discuss all associated risks including the potential for peripheral neuropathy and organ effects with a qualified doctor before proceeding
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