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Description
Neurological recovery may take 612 months, and some deficits may be permanent if treatment is delayed

Nicotinamide (niacinamide) does not cause flushing and has fewer side effects, with nausea and liver toxicity reported only at very high intakes ~3 g/day)

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To-days Drugs

Cyanocobalamin works and is cheaper, but for ongoing optimization as part of a broader supplement strategy, methylcobalamin is the more direct choice

In UK practice, monitoring is primarily based on clinical response rather than routine blood tests
