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High homocysteine levels are associated with an increased risk of heart disease and stroke as it may promote the formation of blood clots and excess free radical cells, and may impair normal blood vessel function

What it does not do, in the published animal data, is push the growth-hormone side of the molecule

Medicines that mimic or enhance these hormones have become increasingly important in managing type 2 diabetes and, more recently, obesity

Hydroxocobalamin has been found to be more effective than cyanocobalamin in treating symptomatic conditions when administered by injection, although Carmel recommends cycling between the two