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Injections provide a direct and efficient means of replenishing B12 levels in the body, ensuring the vitamin is readily available for metabolic processes.

The baseline mMASI score was taken with the clinical photographs of the patients and patients were evaluated on 4 th week, 8 th week, and 12 th week

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It was registered at the US National Institutes of Health (ClinicalTrials.gov) #NCT01366859

After the diabetic experimental groups were identified, Noopept in a 0.5 mg/kg dose, or insulin detemir in a 1U long-acting dose were dissolved in physiological serum and injected intraperitoneally, daily for 14 days