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[127] [128] Synthesis [edit] Biosynthesis [edit] Vitamin B 12 is derived from a tetrapyrrolic structural framework created by the enzymes deaminase and cosynthetase which transform aminolevulinic acid via porphobilinogen and hydroxymethylbilane to uroporphyrinogen III

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Acute fracture healing Timing considerations: Begin peptides within first week post-fracture during inflammatory and early repair phases

Injection site reactions (redness, swelling, tenderness) are most common but typically resolve quickly

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