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Results showed that receiving methylcobalamin did not lead to any significant differences either in survival rates or ALS functional scores, when compared with placebo

Start low: Begin around 250 g daily for 12 weeks Increase gradually: Up to 500 g twice daily if tolerated Cycle: 46 weeks on, then take 24 weeks off This approach supports tendon, muscle, or ligament healing without overloading the system

J Mol Biol

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