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Preclinical research has shown it may significantly increase the number of new synapses in the hippocampus and promote neurovascular protection and repair

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For hematocrit and reticulocyte counts, recommendations are to repeat these tests daily from the 5th to 7th days of treatment and then frequently until the hematocrit returns to a normal range.[9][16][22] Both serum potassium concentrations and the platelet count need to be monitored carefully after parenteral administration of cyanocobalamin

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This dual approach can lead to more substantial weight loss and improved glycemic control compared to either medication alone