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Findings from published studies suggest possible mechanisms of action including increased collagen synthesis, modulation of inflammatory cytokines, and promotion of angiogenesis

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These signs point to immune activation rather than nutrient overdose

55 Arnadottir, M

These studies in anesthetized rabbits were undertaken to explore the possible mechanisms underlying the hemodynamic effects of hydroxocobalamin by investigating 1) possible hemodynamic effects of cyanocobalamin, which is formed on a molar-to-molar basis when hydroxocobalamin binds cyanide, and 2) the interference of hydroxocobalamin with the endothelial nitric oxide system