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The ability to shuttle between the +1, +2, and +3 oxidation states is responsible for the versatile chemistry of vitamin B 12 , allowing it to serve as a donor of deoxyadenosyl radical (radical alkyl source) and as a methyl cation equivalent (electrophilic alkyl source)

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The peptide is typically administered via subcutaneous injection, and therapy may consist of two short courses per year, following either the 100mg Russian Protocol or the 50mg Ukrainian Protocol

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