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Dihexa activates the hepatocyte growth factor receptor c-Met in hippocampal neurons, triggering PI3K/Akt and MAPK/ERK signaling cascades that increase synaptogenesis, dendritic spine density, and NMDA receptor expression

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Both tissue growth and blood sugar are unaffected

There is no evidence from long-term use in patients with pernicious anemia that cyanocobalamin is carcinogenic