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[DOI] [PMC free article] [PubMed] [Google Scholar] 106.Ronnett GV, Kleman AM, Kim EK, Landree LE, Tu Y

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Some neurological symptoms may continue improving for up to 1218 months, though permanent damage can occur if deficiency was severe and prolonged

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Sourcing cost is low, which is why the sustainable model builds them into supervised care rather than selling vials