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(50 mg IM twice weekly slowed functional decline by ~43% in early-stage ALS.) Clinical safety of ultra-high-dose methylcobalamin in patients with amyotrophic lateral sclerosis: Open-label extension (long-term safety data)

Most of the time these "side effects" are not a true B12 side effect

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Results are most noticeable when combined with a balanced diet, regular exercise, and consistency in your wellness routine over time