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The weak structural similarity of CTL proteins to SLC25 could suggest a role as exchangers, but their closed bowl-like shape does not seem to support any known transport mechanism

Ren Y, Liu Q, Liu H, Zhou X, Zhang Y, Cai M (2020) Engineering substrate and energy metabolism for living cell production of cytidine-5-diphosphocholine

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How long the benefits last may depend on your individual needs, your B12 status, your metabolism, and the frequency of recommended injections