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Clinical data indicate that nephrotoxicity is more common in patients receiving high dose CST than in those treated with PMB, and that CST toxicity is dose dependent, mostly mild to moderate, and reversible in most cases

While some patients report symptom relief within the first few days, the deeper regenerative benefits typically accumulate over several weeks of consistent therapy

These symptoms highlight the potential impact of excessive vitamin B12 on the nervous system and mental health

Those conditions help document identity and sourcing, but they do not transform the resulting compound into an FDA-approved medication

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