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Vitamin B12 Mechanism of Action in the Nervous System Vitamin B12 influences and regulates the creation and maintenance of the myelin sheaths through four different mechanisms: Required for the formation of lipids and proteins, from which myelin is created Lowers the level of amino acids, which are probably neurotoxic Works like a hormone in the central nervous system and regulates the level of important cytokines and neurotrophic factors Is a crucial antioxidant in the central nervous system and, through different mechanisms, protects the nerves from chronic inflammations, reactive oxygen and nitrogen radicals and toxins (22 – 24) Vitamin B12 and the Creation of the Myelin Sheaths Both active coenzyme vitamin B12 forms have an influence on the structure of the myelin sheaths
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We therefore suggest that regulatory CNS failure due to dysfunctional or pathologically transformed neuroglia may be the central feature conveying the variable clinical presentation of ME/CFS
