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From the studies we have included, the evidence for its effectiveness remains limited, these results should be interpreted with caution due to the low quality of evidence

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Its ability to reshape the tumor microenvironment while augmenting responses to checkpoint inhibitors underscores its therapeutic potential particularly when combined with other cancer immunotherapies establishing it as a formidable agent in anti-tumor immunity

Medvidovic-Grubisic et al., 2017))

Pre-clinical research conducted primarily in animal models informs the hypotheses for its use, but no large randomized controlled trials in humans have confirmed efficacy for any outcome - including gut-lining support, tissue-related processes, or any other claimed mechanism

For purposes of B12 injections, It is manufactured in a laboratory and used to treat or alleviate anemia caused by B12 vitamin deficiency