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The peptide binds to beta-3 adrenergic receptors on adipocytes (fat cells), triggering a cascade of intracellular events that activate hormone-sensitive lipase (HSL)

R., Dubbert P

Anaphylactic reaction to hydroxycobalamin with tolerance to cyanocobalamin

The compound does not appear to cause physiological dependence, but the durability of its effects has not been studied in withdrawal protocols.
