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The biphasic response suggests possible mechanisms: lower doses (nanogram range) might work through growth factor upregulation and signaling cascade amplification, while higher doses (microgram range) might involve direct receptor activation or substrate provision for cellular repair
The results also highlighted potential side effects: about a third of participants reported nausea or diarrhea, while about a quarter reported constipation
Hydroxocobalamin is a precursor of the active coenzyme forms of vitamin B (methylcobalamin and adenosylcobalamin)
Performance improvements stem from enhanced recovery capacity rather than direct performance enhancement
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