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There are very few drug interactions and some drugs may affect how cyanocobalamin (vitamin B12) works or how it is absorbed

In addition, some patients with ALS appear to have impaired mitochondrial function in their muscle fibers (Crugnola 2010)

In other words, a true classic

10.1016/j.nantod.2022.101529 139 NotabiM

[73] [74] DNA damage [edit] The brain metabolizes as much as a fifth of consumed oxygen, and reactive oxygen species produced by oxidative metabolism are a major source of DNA damage in the brain