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It removes one of the biggest variables from your protocol
Efficacy and Safety of Mecobalamin on Peripheral Neuropathy PubMed / systematic review article: Concludes that mecobalamin (alone or combined) may improve clinical outcomes and nerve conduction in peripheral neuropathy
Follow-up Repeat metabolic markers after 8-12 weeks if the protocol is being continued or adjusted
Tingling or numbness: Nerve impairment due to deficiency can incite tingling, numbness, or a sensation akin to "pins and needles," often in the extremities
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