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Systemic neurological conditions also drive chronic muscle spasms: multiple sclerosis (MS), peripheral neuropathy, amyotrophic lateral sclerosis (ALS), and restless legs syndrome all disrupt the normal nerve-to-muscle communication pathway, producing involuntary contractions that can affect the entire body

For athletes, its also important to note that AOD9604 is currently prohibited by the World AntiDoping Agency (WADA), meaning competitive sports users could risk antidoping violations

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In humans, cyanocobalamin must undergo intracellular enzymatic conversion to the active coenzyme formsmethylcobalamin and adenosylcobalaminwhich, depending on the pH environment, can interconvert with hydroxocobalamin (Obeid et al., 2015)
