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The short answer is Until you are satisfied with improvements in communication and the treatment no longer seems to be helping. Another useful response is, Consider discontinuing mB12 when stimming becomes more disruptive than language acquisition. I find it peculiar that parents pose this question at all

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While some plant-based foods are fortified with B12, like certain cereals or plant-based milk, these may not provide sufficient amounts for optimal health

Oxytocin release via activation of TRPM2 and CD38 in the hypothalamus during hyperthermia in mice: Implication for autism spectrum disorder

Since humans are not able to synthesize vitamins in B complex on their own and these vitamins are easily excreted from the body through urine, their regular intake is essential to maintain energy production, DNA/RNA synthesis/repair, genomic and non-genomic methylation as well as synthesis of numerous neurochemicals and signalling molecules

Important safety considerations include ensuring supplements are purchased from reputable sources, as quality and purity can vary between manufacturers