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If symptoms are affecting your daily life, getting professional advice can help you understand whether B12 support may be suitable

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In individuals with primary coenzyme Q 10 deficiency, early treatment with high-dose coenzyme Q 10 supplementation (1030 mg/kg/day in children and 1.23.0 g/day in adults) may improve the pathological phenotype, yet the effectiveness depends on the type of mutations affecting the coenzyme Q 10 biosynthetic pathway (1, 26)

The reduced amount of oxygen reaching the brain might be to blame for the thinking and reasoning problems