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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)
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People experiencing low energy that affects daily activity, exercise tolerance, or overall motivation may benefit from a medical assessment to rule out nutrient deficiencies or other underlying causes
The decision depends on individual response and priorities
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