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Reducing inflammation in the spine and surrounding tissues can help alleviate pain and discomfort associated with spinal disc issues

J Diabetes Mellit 12(4):187203 Bhattacharya S, Gachhui R, Sil PC (2013) The prophylactic role of D-saccharic acid-1, 4-lactone against hyperglycemia-induced hepatic apoptosis via inhibition of both extrinsic and intrinsic pathways in diabetic rats

This contrasts with other forms like cyanocobalamin, which the body must convert into methylcobalamin or adenosylcobalamin before use

Blocking the interaction between apolipoprotein E and A reduces intraneuronal accumulation of A and inhibits synaptic degeneration

Torrens et al., 1989