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Symptoms usually resolve within 2448 hours
underwhelming evidence against

doi:10.1007/s00018-014-1729-6 pmid:25213356 Shacham-Silverberg V, Sar Shalom H, Goldner R, Golan-Vaishenker Y, Gurwicz N, Gokhman I, Yaron A (2018) Phosphatidylserine is a marker for axonal debris engulfment but its exposure can be decoupled from degeneration

Herschlag D

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Daily supplementation may need to be continued, but cobalamin blood levels could be monitored with less frequent dosing to see if decreased frequency of administration is adequate
