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Cognitive Difficulties : Memory loss, confusion, and trouble focusing

These formulations are used off-label in specialized clinics, not sold as over-the-counter products

This provides a steady supply of nutrients over several weeks or months

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The secondary outcomes will be the serum vitamin B12 concentration (pg/ml), adverse events (description, moment of onset and resolution, intensity, cause, steps taken), adherence to treatment (measured at each patient visit via the number of vials used for patients in the oral arm, and the number of injections given in the intramuscular arm), quality of life (measured using the EuroQoL-5D questionnaire), and patient satisfaction and preferences

These combinations assist the liver in processing triglycerides and preventing fat buildup