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* Correspondence: Yunxiao Liang, [email protected]

Available online at: (Accessed January 13, 2026)

[10] [4] Patients should contact their GP if they experience persistent or severe side effects, signs of allergic reaction (facial swelling, difficulty breathing, severe rash), or if symptoms of B12 deficiency (such as neurological symptoms, severe fatigue, or glossitis) do not improve after several weeks of supplementation

Copper binds to the peptide via histidine