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Furthermore, urolithin A, generated from the microbial metabolism of ellagitannins, has been confirmed to enhance gene expression related to mitophagy through epigenetic mechanisms 181,182

The Natural Medicine Comprehensive Database classified the use of this injection in the possibly safe category, though it does not comment on its efficacy as a skin lightening agent

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Hydroxocobalamin is the preferred licensed intramuscular form in the UK

There are interactions with the serotonin and GABA systems too, and some animal studies have shown anxiety-reducing effects