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Homocysteine can induce oxidative stress, inflammation, and vascular dysfunction, all of which can contribute to neurological damage
The 200 to 500mcg figures widely used across clinic and community contexts are derived from animal extrapolation and accumulated self-experimentation, not controlled human trials
Infection risk: Though the benzyl alcohol preservative inhibits bacterial growth in the vial, any lapse in sterility (dirty needle, etc.) can introduce pathogens
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