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Consult your prescriber if you're on any medication that requires precise timing

A wide range of dysregulated metabolites, including amino acids, lipid species, acylcarnitine, and oxidative stress-related metabolites, was identified

- Pigment cell support: helps maintain melanocyte stem cells and the functionality of the hair pigmentation system

ALS is mostly diagnosed based on clinical signs, using the revised El Escorial criteria, which require signs of both upper motor neuron (e.g., spasticity, brisk reflexes) and lower motor neuron damage (e.g., muscle wasting, twitching) in multiple body regions (Brotman et al., 2025)

[81] [111] Biochemistry [edit] Coenzyme function [edit] Vitamin B 12 functions as a coenzyme, meaning that its presence is required in some enzyme-catalyzed reactions

Once a patients Vitamin B12 levels normalize, we transition to a maintenance therapy approach, ensuring that the recurrence of deficiency is prevented