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It has been studied primarily in animal models for wound healing, tissue repair, reduction of inflammation, and recovery from cardiac injury

Adding 4mL creates a 5mg/mL concentration

Furthermore, Sucrosomial B12 was well-tolerated, with no reported side effects, serious adverse events, or treatment-emergent effects, no negative effect on the vital signs, confirming its excellent safety and tolerability

However, herbal therapies are actually more effective (per clinical studies) than rifaximin for curing small intestinal bacterial overgrowth

Lebers hereditary optic neuropathy, a rare genetic disorder affecting the optic nerve, has been associated with rapid optic atrophy following cyanocobalamin administration in some cases