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Roughly 85% to 90% of a therapeutic dose undergoes Phase II conjugation (glucuronidation via UGT1A1, UGT1A6, and UGT1A9, plus sulfation via SULT1A1), with only about 5% to 10% oxidized by CYP2E1 into the reactive metabolite NAPQI, per Hodgman and Garrard's pharmacology review

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It contains a potent blend of vitamins, including Cyanocobalamin (Vitamin B12), Hydroxycobalamin, Vitamin B15, Biothine (Vitamin H), and liver extract, which collectively support various physiological functions