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Collectively, these alternative delivery strategies expand the toolbox for peptide formulation, offering tailored solutions to overcome challenges such as poor stability, enzymatic degradation, and limited tissue targetingthereby advancing the clinical potential of peptide-based therapeutics

These molecules feed directly into the mitochondrial electron transport chain, which generates adenosine triphosphate (ATP) the primary energy currency of the cell

However, substantial heterogeneity among studies was observed, likely attributable to differences in dosage, baseline B12 status, and population characteristics

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