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As per this research, the primary treatment method is supplementation with vitamin B12

Most researchers recommend cycling protocols (8-12 weeks on, 4 weeks off) rather than continuous indefinite use until more long-term data becomes available

Description Additional information Reviews (85) Ingredients: Thiamine 100,000 mcg, Riboflavin 2540 mcg, Niacinamide 100,000 mcg, Panthenol 5000 mcg, 125 mcg Methylcobalamin

Based on the picture, your physician designs a personalised protocol, typically a 6-12 week cycle with built-in re-assessment points

Reference: Neelakantan H, Vance V, Wetzel MD, Wang HY, McHardy SF, Finnerty CC, Hommel JD, Watowich SJ (2018)