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Avoid strenuous activities and heavy lifting to prevent further soreness and strain, allowing your arm to recover more quickly

Jones, W

The correlation between CSF MHPG and brain NE is unknown

Science 350(6266):13911396

This mechanism becomes clinically important when using high-dose oral supplements (typically 1000 micrograms or more), as it can provide adequate absorption even when the intrinsic factor pathway is impaired