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Green et al 26 Severe clinical abnormalities should be treated intensively with B 12 , cyanoB 12 or hydroxyB 12 : HydroxyB 12 is commonly used in Europe, often at intervals of 23 months, as it seems to have better retention than cyanoB 12

Were seeing great results from this combo at our centers, with promising outcomes, especially in patients over 40

This can lead to mild hyponatremia causing fatigue, weakness, and lightheadedness

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While research is still ongoing, several key advantages have been identified