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Surprisingly, the geometric optimization of the CASSCF(14,13) model, including cyanocobalamin and nicotinamide adenine dinucleotide phosphate negative mono-anion, shows the reactants repel each other, with no any interaction between them (Fig

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Zeljko Kojadinovic, MD, PhD Neurosurgeon and Pain Management Specialist Last medically reviewed: June 10, 2026 Who this page is for This page is for patients with trigeminal neuralgia or persistent facial pain that did not improve despite medications or previous treatments