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Among these, 600mg of racemic ALA taken once daily is the most common and well-tolerated therapeutic dose, particularly for conditions like diabetic neuropathy

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Aspirin also increased intestinal permeability and altered gut microbiota composition, notably depleting Akkermansia and Lactobacillus

As I said, becoming symptomatic quickly may indicate that more frequent/lower dose B12 is a better treatment strategy, not that liver or other stores cannot be utilized