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Description
Methylene Blue acts as an electron cycler within the mitochondrial electron transport chain

Symptoms tend to appear mostly when people are middle-aged or older

G.GalatroA.SimontacchiM

UK guidelines recommend monitoring clinical response and full blood count (typically at around 2 months) to ensure treatment adequacy, rather than routinely rechecking B12 levels after replacement has started

PLoS One 11 , e0161347 (2016)
