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It can also be lab-synthesized

There may also be long-term risks due to limited human studies

Curr Alzheimer Res (2005) 2:15565.10.2174/1567205053585846 43 SchubertDMaherP

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If an Adverse Analytical Finding is reported following Doping Control, a Retroactive TUE must be submitted with the medical documentation
While cyanocobalamin has proved effective in preventing vitamin B12 deficiency, there is increasing evidence that the coenzyme B12 forms have a distinct advantage and better spectrum of action in many specialised applications
