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If nothing explains it, a sensible next round usually includes a repeat B12 to confirm the finding is not a one-off, a full blood count, and liver enzymes such as ALT and AST
[5] Conclusion For patients with CTN, incorporatinB12 and ALA could significantly improve symptoms and prevent further nerve damage
It can test a scientific idea without proving that a compound should be used as a medicine
Those with persistent fatigue or high stress may benefit from biweekly doses
That distinction is the whole article
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