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Holotranscobalamin is vitamin B12-bound to transcobalamin and constitutes a small fraction of total serum B12, which is biologically active

This vasorelaxation is mediated through actions on purinergic receptors, specifically adenosine receptors (Alefishat et al., 2015)

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The function may have important implications for age-related diseases in response to metabolic stress by promoting intracellular homeostasis, and MOTS-c gene polymorphisms have been found to be associated with human lifespan (18, 20)

That is what separates it from research-use-only vials sold without a prescription