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TB-500 component: 2-2.5mg twice weekly during loading phase (first 4-6 weeks), reducing to 2-2.5mg weekly during maintenance

As Professor Carmel highlights: Residual disability, estimated to affect 6% of neurologic patients, is the most feared outcome of cobalamin deficiency and is likely to persist if still present after 6 to 12 months of treatment

Inconclusive results may mean the person needs to repeat the test.

The gut settles into a calmer rhythm, which lowers background fatigue across the day