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Any suspected side effects from hydroxocobalamin injections should be reported via the MHRA Yellow Card scheme (available at yellowcard.mhra.gov.uk)

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High levels of MAO-A were found in mitral valve regurgitation, and the MAOs were shown to contribute to the oxidative stress in the heart valve.[ref] These cardiovascular effects highlight that MAO-A is not only a brain enzyme but also a significant source of oxidative stress in the heart and veins

Endothelial dysfunction Vascular homeostasis relies on the endothelium, a monocellular lining that coats the inside arteries and separates the interstitial fluid from the blood (59)

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