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This pointed toward an alternative etiologyspecifically, a PTMA secondary to vitamin B12 deficiency Table 2

It helps keep red blood cells healthy and supports the nervous system

Given once a month

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But tools without strategy produce mediocre results

That is the evidence gap, stated plainly: the mechanism is well-motivated and the preclinical signal is consistent, but no human study has confirmed that any of it translates to people, at any dose, by any route