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Acetyl-L-Carnitine can be used to fight fatigue in individuals with MS, with some research subjects reporting significant reductions in fatigue and an overall improvement in their quality of life
When the anemia is severe and the red blood cell count is extremely low, blood transfusions may be necessary for the first couple of days until the vitamin B 12 injections begin working
However, it is an invasive, often painful procedure with significant cost and downtime
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