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However, effects on anaerobic performance and strength outcomes appear more variable, and much of the available evidence is limited by small sample sizes and moderate methodological quality [156]

[DOI] [PMC free article] [PubMed] [Google Scholar] 71.Yao M., Tabuchi H., Nagashima Y., et al

Specifically, it helps convert homocysteine to methionine and supports the conversion of methylmalonyl-CoA to succinyl-CoA a step in the metabolic pathway that generates cellular energy from fatty acids

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While side effects are generally rare, its important to be aware of the potential risks

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