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The enzyme methionine synthase needs methylcobalamin as a cofactor

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Treated mice showed improved Morris water maze performance reduced escape latency emerging across roughly days 45 of the training protocol alongside increased synaptophysin and reduced inflammatory markers (IL-1, TNF-), reportedly via PI3K/AKT signaling

But overall point I am getting at is when things are prescribed fast and loose, it doesnt just create patient risk, it puts the entire industry at risk

Even small amounts, when taken repeatedly, can increase the risk of inflammation, oxidative stress, or long-term toxicity