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Structural abnormalities, bone-related problems, and advanced degenerative changes show limited response regardless of treatment duration

It helps your nerves work better, sending the right impulses to your muscles and even helps you with thinking and concentration

Gajlagher et al

Patients with epilepsy and other neuropsychiatric symptoms who receive cobalamin replacement therapy may resolve or even completely recover [84, 90,91,92,93]

Longer uninterrupted dosing is not recommended because receptor sensitivity can diminish without cycling

But I've watched people who'd been told surgery was inevitable get back to doing what they love without ever going under the knife