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There are certain research works that have stated that this mostly begins because of something called molecular mimicry

(2015) conducted a meta-analysis of 6 randomized controlled trials involving Cerebrolysin in Alzheimer's disease, finding statistically significant improvements in global clinical outcomes and cognitive measures at 24 weeks (PMID: 25832905) Cochrane Systematic Review: Cui et al

Some researchers deliberately use this combination to minimize the acute post-injection experience

Neurol Res

Cobalamin separates from the protein during digestion, and a substance called intrinsic factor binds to cobalamin for the body to absorb it into the blood