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Limiting alcohol for 24 to 48 hours is a sensible precaution, especially if you take medications that affect clotting

Reduced oxygen and glucose delivery lowers adenosine triphosphate (ATP) production, impairs Na+/K+-ATPase activity, depolarizes cell membranes, and promotes excitatory neurotransmitter release that can exacerbate neuronal injury [2,3,4]

Prompt parenteral administration of vitamin B 12 prevents progression of neurologic damage

Fakhoury M

Harvard Health puts the related point bluntly: placebo effects can ease symptoms like pain, fatigue and nausea, but they do not shrink tumours or lower cholesterol

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