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Recent B12 administration: Therapeutic injections for deficiency can temporarily raise levels significantly

FTY720 (fingolimod) is a sphingosine 1-phosphate (S1P) receptor modulator and sphingosine analog approved for MS therapy that can functionally antagonize S1P 1

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References: National Center for Biotechnology Information (2023)

Cellular energy regulation: Studies exploring metabolic signaling and energy expenditure pathways