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While the mechanism of action of mecobalamin against amyotrophic lateral sclerosis (ALS) is not known, it has been suggested in non-clinical research that mecobalamin may have efficacy through a neuroprotective effect and regeneration of nerve axons

It's how your system is reacting to the molecule on its way through

Definitely would recommend." WRC Female Patient, 2 months on therapy 4

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Some medications also slow metabolism or intensify alcohols effects