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In people with normal levels, no significant benefit has been shown
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For people with no neurological involvement Initially administer hydroxocobalamin 1 mg intramuscularly three times a week for 2 weeks, then administer hydroxocobalamin 1 mg intramuscularly every 23 months for life
It also enhances ease of administration and maintains patient comfort
Each component has real preclinical support, and MOTS-c in particular has a solid animal record
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