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Maybe its an opportunity to have a discussion about maybe slowing down on the weight loss, maybe holding at a lower dose of the medication to give the body time to adjust, Dr

For home monitoring, standardized questionnaires such as the Michigan Neuropathy Screening Instrument (MNSI) and the Neuropathy Total Symptom Score (NTSS-6) provide structured self-assessment tools

After 24 weeks, Mini-Mental State Examination (MMSE) scores didnt significantly improve in the treatment groups compared to the placebo, and the placebo group actually improved significantly more than the B12-only group (Eussen, 2006)