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For optimal effect, combine with a high-protein, high-fiber diet and regular physical activity

Folate must be checked alongside B12, and folate deficiency should never be treated in isolation when B12 is low, because doing so can mask the anaemia while neurological damage progresses

Hypoxia-induced deactivation of NGF-mediated ERK1/2 signaling in hippocampal cells: neuroprotection by acetyl-L-carnitine

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In tests on animal models, wounds showed faster contraction, better epithelialisation, more granulation tissue, and higher antioxidant enzyme activity [5,6]