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The cyanocobalamin form is common in supplements and treatments

The peptide effectively counters neuronal damage, including axonal and neuronal necrosis, which are critical factors in functional recovery

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Some people may need supplements

Steinfeld R, Grapp M, Kraetzner R, Dreha-Kulaczewski S, Helms G, Dechent P, et al

Nowadays we can understand that sex, age, race and ethnicity, in the context of socioeconomic status and lifestyle (tobacco, alcohol, education, physical exercise, unbalanced diet, etc.) impacts directly in its prevalence [7, 8, 10, 27 36]