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Methionine helps form SAM (S-adenosyl methionine), which is the activated form of methionine

Each)Tj T* (bottle of Nascobal Nasal Spray contains 1.3mL of a 500 mcg/0.1mL solutio\ n of cyanocobalamin with sodium citrate, citric acid, )Tj (and)Tj T* (glycerin and benzalkonium chloride in purified water

A randomized, double-blind, placebo-controlled trial in 191 older adults (75 years) with moderate vitamin B 12 deficiency (serum cobalamin concentrations of 107-210 pmol/L) without anemia provided participants with 1 mg/day of cyanocobalamin for one year (94)

AOD 9604 does not increase IGF-1 levels

Elaine Gottschalls book breaking the vicious cycle may help with this and again this is another approach
