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Bioorg Med Chem 26:46774686

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Common Side Effects (mild to moderate) : Gastrointestinal discomfort Mild fatigue Redness at the injection site (if applicable) Rare Side Effects (moderate to severe) : Dizziness or balance issues Tingling sensations in hands or feet Severe allergic reaction (anaphylaxis very rare) Safety Summary : Adenosylcobalamin is typically safe and well-tolerated

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Dysregulation of copper ions can disturb lipid metabolism, resulting in oxidative stress, mitochondrial damage and endothelial cell dysfunction (14), and induce atherosclerosis and other cardiovascular diseases such as arrhythmia and cardiomyopathy (15)