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doi:10.1097/md.0000000000005898 Kim SY, Oh DJ, Park B, Choi HG

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All patients were given sublingual lozenges of 1000 mcg cyanocobalamin twice daily for 712 days, after informed consent was obtained

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An excellent perspective and thought-provoking points from Julie Wichlin, our support group co-ordinator in the USA, whose experience undoubtedly will resonate with many whatever your location