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According to a Clinicians Guide in a University of Virginia report published in 2018, the condition may not fully resolve for up to eight weeks, however (8) Neurologic symptoms, like tingling, numbness in hands and feet, or dizziness, generally improve in six to 12 weeks, and severe neurological symptoms, like difficulty walking, may not ever resolve completely

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Instead of taking isolated B12, consider using a balanced B-complex formula that includes adequate B6 (25-50mg) and folate (400-800mcg)

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Research on ALA and ALC often occurs at higher doses or in specific populations (e.g., older adults, clinical trials)