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The proposed mechanism of AOD-9604 centers on the adipocyte and can be stated in two linked claims

Although considered a safe drug [139], larger studies are urgently needed to assess the potential benefit of vitamin B12, either alone or in conjunction with other therapeutic agents, in preventing or reversing MS and improving the quality of features of patients with MS [140]

1 Deficiency is often due to a lack of B12 foods in the diet, absorption issues, and/or genetic mutations that affect uptake

The thing about injecting into a vein etc, is just an inspection window, when you draw up once into the muscle, you can see if there is any blood

This means its the switch that turns individual genes on and off as needed