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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

doi: 10.1042/CS20200356 226 MansourHSlikaHNasserSAPintusGKhachabMSahebkarAet al

Current findings suggest that DSIP can influence corticotropin regulation, reduce somatostatin secretion, modulate stress responses, help stabilize blood pressure, adjust sleep activity, and affect pain sensitivity

Deviating from that schedule either skipping shots or getting too many can reduce effectiveness and increase the risk of side effects

All other therapeutic drugs

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