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Once absorbed, it is converted into the active forms methylcobalamin and adenosylcobalamin

Using co-factors for methylation pathways such as vitamin B12, magnesium and biotin, to ensure balanced neurotransmitter metabolism and homocysteine clearance

Male fertility is reduced by chronic intermittent hypoxia mimicking sleep apnea in mice

Diet Modified elimination diet closely resembling Mediterranean diet

Here is a natural product, probably of animal origin, readily available by ex vivo chemical synthesis and identified as a hormone-like gastro-protectant (think prostacyclin) and stimulant of healing/wound repair (again think prostaglandins particularly resolvins) and with no reported toxicity