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Microbial fermentation yields adenosylcobalamin, which is then converted to cyanocobalamin by the addition of potassium cyanide or thiocyanate in the presence of sodium nitrite and heat

Though no evidence of this has appeared in published trials

Animal studies on tissue repair, angiogenesis, and cardiac repair (Bock-Marquette et al., 2004

endothelial cell growth regulation

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It may potentially phosphorylate various target proteins, thus initiating downstream cellular responses