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Neurological Issues : This includes numbness or tingling in the hands and feet, as well as balance issues

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The medication must be consumed on an empty stomach with water at least 30 minutes before the days first meal to ensure proper absorption

Moreover, recent data suggest that oxidative injury may play a significant role in demyelination and pathogenesis in MS [116]

When stratified by administration route, the average percentage reductions were: Intramuscular (IM): 48.3% Sublingual: 30.7% Oral: 30.3% These results suggest that IM administration leads the most pronounced homocysteine reduction, however, sublingual and oral routes also demonstrate clinically relevant effects