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Individual Case Reports A 2024 case study published in The Parker Journal of Health Science described a woman who developed anxiety, palpitations, acne, and insomnia after taking 1,000 mcg of cyanocobalamin daily for 12 days

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Elamipretide is a cell-permeable tetrapeptide that selectively accumulates in mitochondria, binds cardiolipin, stabilizes inner-membrane structure, inhibits excessive ROS production, and preserves ATP synthesis