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doi: 10.1016/j.cell.2012.03.042 222 WeiMLiuXTanZTianXLiMWeiJ

The secondary endpoints include achievement of 20% weight reduction, relative change in body weight, change in waist circumference, change in HbA1c, change in systolic blood pressure, change in the quality of life (IWQOL-Lite-CT), and change in short-form physical functioning score (SF-36v2)

Elevated MMA confirms cellular deficiency that needs immediate treatment

No industrially produced silicic acid (silicon dioxide) flow aid

Heres why: Sustained release: Hydroxocobalamin has a longer duration of action in the body compared to other forms of B12, such as cyanocobalamin