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In extreme cases, people with pernicious anemia or a related condition known as vitamin B12 deficiency myelopathy can develop nerve damage related to vitamin B12 deficiency
It has been under research for over 50 years, with consistent findings of excellent tolerability in both topical and injectable applications
However, the most definitive sign of degradation is a loss of expected efficacy or inconsistent results in your research application.
"Elamipretide Improves Mitochondrial Function in the Failing Human Heart" Journal of the American College of Cardiology
PLoS One 2013;8:e54163
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