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Phase 2 trial results by dose (48 weeks) Phase 3 TRIUMPH-4 results (68 weeks) The phase 3 TRIUMPH-4 data, released in early 2026, confirmed and exceeded the phase 2 results

However, even with supplementation utilizing activated B12 forms such as methylcobalamin and adenosylcobalamin injections, discernible clinical benefits in terms of cardiovascular health remain unsubstantial