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Lipotropic refers to compounds that help catalyze the breakdown of fat during metabolism in the body

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Table 1 Main indications and administration routes for B 12 treatment Evidence from animal and human studies shows that B 12 also has neuroprotective and anti-inflammatory properties,15 and intervention studies in humans have reported beneficial effects of better B 12 status or B 12 therapy in multiple sclerosis,16 Parkinsons disease,17 myalgic encephalomyelitis,18 autism,19 and (administering very high doses of methylcobalamin) in amyotrophic lateral sclerosis.20 Subcutaneous administration is sometimes recommended when intramuscular injections are contraindicated, for instance, in people using anticoagulants

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Figure 7 In addition to the stepwise nutritional treatment plan, we have also extended nutritional intervention to the prevention of OA