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[PMC free article: PMC4861230] [PubMed: 20148678] 514

The process begins with Vitamin B12 in the injection, which plays a pivotal role in producing energy as well as the metabolism of proteins and fats

Additionally, the increase in microvascular blood flow in muscles contributes to reduced intramuscular fat accumulation and alleviation of myosteatosis, while AMPK pathway-mediated increased fat oxidation supports the mobilization of intramuscular fat, allowing for improvements in energy metabolism and reduction of fat within muscle tissue [39]

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