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You may have health issues that interfere with your bodys ability to absorb the nutrient, you might not be getting enough in your diet, or you could be taking drugs that lower the levels of B12 in your body

and cells that support the immune system

In a cervical cancer cell line (HeLa), the compound reduced cell proliferation in a concentration- and time-dependent way and lowered expression of phospho-Akt and SIRT1, two proteins tied to tumor progression, while a non-cancer reference cell line was less affected

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