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In the latter study, the researchers hypothesized that vitamin B12 may activate an inflammatory process in bacteria that normally lives on the skin, but which can promote acne when inflamed, according to Live Science

This receptor modulation triggers a cascade of intracellular signaling events that ultimately result in the activation of hormone-sensitive lipase, the enzyme responsible for breaking down stored triglycerides into free fatty acids and glycerol

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These lipotropic agents are structurally and functionally closely related to the B-vitamins or are involved in the homeostasis of energy production from fat

When documentation clearly indicates muscular injury without ligament involvement, S16.1 is the appropriate choice