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Metabolism and toxicity of ELA According to the in vivo and in vitro studies, ELA is rapidly converted to L-arginine ethyl ester via the cleavage of lauroyl side chain or N -lauroyl-L-arginine (LAS) via the loss of ethyl ester (Figure 2)

( 8 ) Alternatively, methylcobalamin may have a higher retention rate than cyanocobalamin and can be obtained through food sources such as fish, eggs, meat, and milk

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