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So its not, it doesnt work well for people who have irreversible injuries

3 In B12 deficiency, methylmalonic acid (MMA) can accumulate, and it is thought that elevated MMA, alongside elevated homocysteine, contributes to damage of the myelin sheath (which protects nerve cells and speeds up nerve transmission), which can cause irreversible neurological problems

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Anecdotal evidence suggests B12 injections work very well to increase energy levels

siRNAs can function as miRNAs

The issue becomes how to assess the purity and validity of the product and seller