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Your physician determines the appropriate protocol during your initial consultation

Results: Among 556 ESUS patients (median age 71 years, 44.6% female), 95 (17.1%) had LVD (51 [53.7%] reduced LVEF, 81 [85.3%] LVWMA)

While both forms support B12 levels, hydroxocobalamin provides a more sustained effect, making it suitable for treating deficiencies and urgent medical conditions

That "one-third get neuro effects" figure is exactly the responder-subgroup signal a real trial is built to quantify
