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Replacement supports response to prednisolone and dietary therapy

While the study does not establish a causal relationship, there are several potential mechanisms that could explain how Vitamin B12 supports testosterone production

Evidence from observational studies suggests that with longer symptom duration and more profound B 12 deficiency, the likelihood that neurological symptoms will not completely resolve increases.28 People often continue to experience mild neurological symptoms such as poor memory, impaired concentration, and fatigue even after adequate B 12 replacement (eg, therapy according to the BNF suggested treatment regimen)91729 and many patients report they need additional treatment

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The tetracycline was the culprit. It took a long time for this womans problem to be diagnosed

At first, injections might be given daily or weekly