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Therefore, high blood serum levels of this can be a marker of liver disease, rather than a sign that the body overall contains optimal levels of vitamin B12
[DOI] [PMC free article] [PubMed] [Google Scholar] 47.Okamura M, Inagaki T, Tanaka T, Sakai J

This decline correlates with visible aging signs, reduced wound healing capacity, and decreased tissue regeneration, providing the rationale for supplementation

Instead, it operates as a central monoamine modulator offering appetite suppression, mood enhancement, and metabolic impact through neurotransmitter activity
