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Methylcobalamin has a methyl group, while cyanocobalamin includes a cyanide molecule

doi: 10.3390/ijms24054864 19 JdrzejewskiT.SobociskaJ.MaciejewskiB.SpiszP.Walczak-SkierskaJ.PomastowskiP.et al

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Emerging research suggests that lower Glutathione levels may predict cognitive decline in healthy adults

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Be explicit in informed consent that individual response may vary, and that concurrent pharmacotherapy, such as GLP-1 RA, might influence duration of their results You may wish to re-treat at their review appointment Schedule their next appointment for 12-14 weeks post treatment, rather than 16 weeks For regular patients, track how long botox results last for them specifically