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National Academies Press (US).

Another thing to consider is wich brand of hydroxycobalamin you use

Previous studies revealed that the polysaccharides of BP (Chinese wolfberry) have immunomodulatory activity in vitro against RAW 264.7 cells via downregulating the level of tumor necrosis factor-alpha (TNF-), interlukin-1 (IL-1), interlukin-6 (IL-6), and nitric oxide (NO) secretion (162)
Br J Cancer 97 , 10711076 (2007)