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Under vacuum conditions, ethanol is gradually eliminated leading to the encapsulation of the compound in the liposome

People can also have 'normal' levels of B12 in their blood, but be symptomatic - this is known as a functional B12 deficiency

doi: 10.1158/0008-5472.CAN-16-1615 158 da Silva MeirellesLChagastellesPCNardiNB

Its believed it either works by activating other repair cells that can help tendons or ligaments or making the human growth factor receptor on these cells more sensitive (6)
