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Enhances athletic performance and endurance

Gerson M: The cure of advanced cancer by diet therapy: a summary of 30 years of clinical experimentation

The honest answer is: not convincingly

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Notably, those with elevated baseline homocysteine levels (11.3 mol/L) experienced a 50% reduction in brain atrophy rate and improvements in episodic memory, semantic memory, and overall cognition (232234)

That is a genetic-knockdown study in mice, not a drug trial: it tells you the target is real and metabolically meaningful in an animal model, but it does not test a drug, a dose, or a route