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The depletion of glutathione (an antioxidant needed to remove the cyanide from cyano B12) may increase homocysteine, thus only making things worse for these patients
The precursor provides raw material for NAD+ synthesis while 5-amino-1mq prevents NNMT from draining the nicotinamide pool
These effects are typically mild to moderate, dose-dependent, and tend to diminish with continued use and proper dose escalation
It is a misconception that you dont need it after your height stops increasing