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33,34,35,36,37 One study suggests that length of time from diagnosis of cognitive impairment is important for response rate, in that patients who had experienced symptoms for less than 12 months improved on B12, whilst those with symptoms for more than 12 months continued to decline

doi: 10.1016/j.devcel.2007.07.014 120 MacDonaldJ

The risk is increased nausea during the rapid increases

That creates a genuine overdose risk with significantly amplified side effects

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This approach sidesteps legal complications by avoiding any therapeutic claims or medical advice