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Also, patients should be warned about the danger of taking folic acid in place of vitamin B 12, because the former may prevent anemia but allow progression of subacute combined degeneration

A: Cyanocobalamin (vitamin B12) and glycine are added to support side effect management and muscle preservation

free-drug occupancy method (albumin Kd 1.86 uM, free fraction 0.29%): Willard JCI Insight 2020

Patients should be advised to report new or worsening neurological symptoms promptly, as these may indicate progressive deficiency requiring more aggressive intervention

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Cellular : Energy production, damage repair, and senescent cell clearance, including mitochondrial function and DNA repair