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DSIP normalizes cortisol patterns that become disrupted during chronic stress and depression

[62] [63] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting non-toxic cyanocobalamin is excreted in urine

This result, known as Jensen's inequality, can be used to deduce inequalities such as the arithmeticgeometric mean inequality and Hlder's inequality

When adverse reactions have occurred, they have been mild and transient

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