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A lowish but witin-range result after treatment would indicate that you do have a severe B12 deficiency

Description Tesofensine is a dopamine, serotonin, and noradrenaline (triple) reuptake inhibitor originally developed by NeuroSearch for the treatment of Alzheimers disease and Parkinsons disease

Results demonstrated that AOD-9604 displayed a very good safety and tolerability profile indistinguishable from placebo. Critically, the peptide produced no clinically significant alterations in IGF-1 levels, no glucose intolerance or insulin resistance, and no anti-AOD9604 antibodies in any participant

Vitamin B12 Deficiency: A Rare Cause of Excessive Daytime Sleepiness

Who Is at the Highest Risk of Vitamin B12 Deficiency