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Materials and Methods The study was a randomized, double-blind, placebo-controlled trial (registered at clinicaltrials.gov as NCT00641862)

This is especially true for high-performing professionals, parents, and students trying to juggle mental focus and physical stamina

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Not dramatic weight loss, but a subtle shift in how the midsection feels and looks, particularly in the lower abdomen where visceral fat tends to concentrate

However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future