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It also helps ensure we aren't missing something important, such as thyroid disease, nutrient deficiencies, adrenal imbalances, hormone imbalances and more

but a larger sample size is needed for appropriate statistical power for more subtle, possibly significant differences

Dose frequency should align with lab results and medication timelines

The utilization of a combined B complex, such as neurotropic B vitamins, emerges as a potential avenue for improved outcomes, especially for patients less responsive to B 12 treatment alone