In other words, if you are not deficient, adding more B12 does not create an effect, because your body already has what it needs and excretes the excess
While there was also an initial drop in Sutterella, this result was no longer significant after adjusting for age, body mass index (BMI), and gender
when it occurs, it is often secondary to other factors related to the medication's effects or individual patient circumstances
Tilve S., Difato F., and Chieregatti E., Cofilin 1 Activation Prevents the Defects in Axon Elongation and Guidance Induced by Extracellular AlphaSynuclein, Scientific Reports 5 (2015): 16524
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Biopsy and laboratory investigations are required to establish a definite diagnosis