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In addition, in research on aging-related muscle atrophy (sarcopenia), it can promote muscle cell proliferation and differentiation, reduce muscle cell apoptosis, and enhance muscle strength and endurance by activating the SIRT1 signaling pathway

Br Poult Sci 1995., 36(5): 747-62: Lin JH, Levy G: Renal clearance of inorganic sulfate in rats: effect of acetaminophen-induced depletion of endogenous sulfate

Patients with this condition or those with a family history suggestive of Lebers disease should avoid cyanocobalamin-containing products or use alternative forms of vitamin B12 such as hydroxocobalamin under careful medical supervision

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