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The detailed breakdown in the AOD 9604 side effects guide covers everything reported in clinical and anecdotal settings

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doi:10.1016/S0899-9007(02)00916-4

Although there is minimal evidence in humans, mice studies have shown improvements in sexual function and semen parameters

Residual disability, estimated to affect 6% of neurologic patients, is the most feared outcome of cobalamin deficiency and is likely to persist if still present after 6 to 12 months of treatment