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These studies showed up to a 10-15% increase in median lifespan

This decyanation process is demanding: Although the amount of cyanide is considered toxicologically insignificant, humans must remove and detoxify the cyanide molecule, reduce the cobalamin to its usable +1 oxidation state, and then enzymatically convert the cobalamin into one of two metabolically active coenzyme forms

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Long-term use of metformin (for type 2 diabetes) or proton pump inhibitors can also deplete B12 levels over time

You will need to continue working long- term with your doctor, physical therapist, and any other health care professional involved in your pain management