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Molecular Medicine, 29(1), 455472
When your cells are starved for usable B12, the levels of MMA and homocysteine in your blood go up

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Improvements already are.better sleep, muscle pain has lessened (it was horrendous I could barely use my arms) I can feel my feet again, especially my toes
Oral forms face a harder journey through your digestive system
A 2023 meta-analysis in Nutrients reviewing multiple clinical studies found PEA effective for chronic pain conditions