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10.1007/s12223-018-0658-4 [DOI] [PMC free article] [PubMed] [Google Scholar] Moore, S

The upper end of this range reflects the Russian stroke protocol (Semax 1 percent, roughly 2 to 3 mg per day split over three administrations), while the lower end mirrors cognitive-nootropic protocols using Semax 0.1 percent

This is because it requires conversion to the active form of vitamin B12

This can cause bacteria to thrive inside the vial

They also have to go through significant pre-surgical counseling and preparation that can take months

Takeaways It can take years to see the effects of vitamin B12 deficiency anemia
