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This suggests that DSIP does not activate all mitochondrial respiration but specifically enhances ATP synthesis [2]

Signs of hormonal improvement during peptide therapy include more regular menstrual cycles, clearer luteal phases, reduced pelvic pain, improved libido, and better energy levels

Check out this paper from 1992: If the indiscriminate dumping of industrial cyanide waste continues unchecked with the inherent risk of pollution of food and water supplies there may well come a time when more widespread chronic cyanide neurotoxicity occurs in the Western hemisphere from a dietary source in persons with a genetic or acquired error of cyanide or vitamin B12 metabolism

You need the full picture: serum B12, methylmalonic acid, homocysteine, and if you can get it, holotranscobalamin