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Depending on the type of mutation, the efficacy of the enzyme can be reduced by up to 70%

It also shows an enhancement in physical performance, While this evidence is very promising, its still early in the research process

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[62] [63] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting non-toxic cyanocobalamin is excreted in urine