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The myelin sheath protects the axon from damage and provides electrical insulation for efficient signal transmission, essential for healthy central nervous system functioning

[153] There is evidence that for elderly people, physicians often repeatedly prescribe and administer cyanocobalamin injections inappropriately, evidenced by the majority of subjects in one large study either having had normal serum concentrations or having not been tested before the injections

However, this is usually due to the purity of the product or the filler used in the vial rather than the peptide itself