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I noticed a positive difference in that I had a little more energy when I did the B12 and Lipo combo

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This was defined as a 1-point to 2-point decline in the Revised ALS Functional Rating Scale (ALSFRS-R) total score over an initial three-month observational period

For example, pernicious anemia is one of the most common causes of vitamin B12 deficiency because it is an autoimmune disease where the immune system attacks specialized stomach cells that produce intrinsic factor (a protein that binds to B12 for absorption)