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TOP THE GUIDELINES AND PROTOCOLS ADVISORY COMMITTEE The principles of the Guidelines and Protocols Advisory Committee are to: encourage appropriate responses to common medical situations recommend actions that are sufficient and efficient, neither excessive nor deficient permit exceptions when justified by clinical circumstances Contact Information: Guidelines and Protocols Advisory Committee PO Box 9642 STN PROV GOVT Victoria BC V8W 9P1 Email: [email protected] Website: www.BCGuidelines.ca Disclaimer The Clinical Practice Guidelines (the Guidelines) have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission

Unlike synthetic cyanocobalamin, Methylcobalamin is the natural, pre-methylated form your body can absorb and use immediately

Oxygen therapy

Mechanism of Action In research models, 5-Amino-1MQ is studied for its ability to interact with the NNMT enzyme , which participates in metabolic processes involving methylation pathways and cellular energy regulation