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TB-500 operates primarily through G-actin sequestration, PI3K/Akt pathway activation, and promotion of endothelial cell and fibroblast migration , producing particularly pronounced effects on angiogenesis, cell migration into wound beds, cardiac and skeletal muscle repair, and the remodelling of extracellular matrix during tissue regeneration

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So I added it into my diet with foods fortified with B12 and the occasional oral supplement before I started with B12 injections

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The muscle spasms are better but I definitely still get some and random twitches