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Therefore, before establishing expectations on B12 shots, you should talk to your doctor to see if you need to adopt a healthier lifestyle or take additional supplements in addition to B12 injections

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Traina G (2016) The neurobiology of acetyl-L-carnitine

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Nonetheless, there are several publications describing cases or case series of patients with rapid improvement following ~2-4 units of FFP, often after repeated failure of steroid, epinephrine, and antihistamine (Karim 2002, Warrier 2004, Stewart 2012, Bolton 2012, Hassen 2013, Shiber 2014)