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The cyanocobalamin component of the injection is generally associated with minimal side effects when administered at therapeutic doses

It plays an essential role in regenerating and healing injured tissues by upregulating actin and blocking actin polymerization, while also promoting angiogenesis and cell migration [8, 9, 10, 11]

Supplementation is always personalised and clinically supervised to complement peptide therapy rather than replace medical care

The Shibata study

Gaetani P, Torre ML, Klinger M, Faustini M, Crovato F, Bucco M, Marazzi M, Chlapanidas T, Levi D, Tancioni F, Vigo D, Rodriguez y Baena R: Adipose-derived stem cell therapy for intervertebral disc regeneration: an in vitro reconstructed tissue in alginate capsules

This represents an honest scientific debate rather than a settled question