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Moreover, in addition to promoting neuroregeneration and repair, multiple studies have indicated that Vit B12 can also be employed in pain management, alleviating neuropathic pain through various mechanisms, including the promotion of myelination, enhancement of nerve regeneration, and reduction of ectopic discharges (108110)

Corticosteroid medications, such as dexamethasone, also significantly decrease MAOA activity.[ref] A sudden suppression of MAO-A could increase dopamine and other neurotransmitter levels, sharpening awareness and quick decision-making, which makes sense in a situation that is suddenly stressful

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The vial should be gently swirled not vortexed until fully dissolved