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Different B12 injections

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VEGF is also known as the vascular permeability factor [23], and plays a key role of angiopoiesis and micro-vascular permeability [24,25], acting through transmembrane protein receptors in endothelial cells and other cells to regulate transmembrane signal transduction [26]

Any of these warrant a protocol reassessment and potentially a conversation with a healthcare provider

Because methylcobalamin binds more efficiently to transport proteins, it is retained in the liver, kidneys, and nervous system for a significantly longer period

Gibson, W