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Clinically, reports of patients with known B 12 deficiency and superimposed DCM have shown that patients appear with a degree of neurological impairment out of proportion of what would be expected based on imaging, and that treatment with B 12 can optimize neurological recovery
If sleep is one of the main factors wearing your reserves down, the Sleep Supplements collection can help you explore options designed for nighttime support

doi: 10.1111/jfbc.13194 170

Meanwhile, primary care physician Sanjay Basu has some other ideas

J Cell Sci (2013) 126(Pt 22):525970

[7] Consider using a straw to drink coffee to avoid staining your lips
