Option (Evidence Strength: Grades B, B, C, and B) Amitriptyline (Evidence Strength: Grade B ) One randomized controlled trial reported efficacy of oral amitriptyline (25 mg daily titrated over several weeks to 100 mg daily if tolerated) to be superior to placebo (63% of treatment group clinically significantly improved compared to 4% of placebo group) at four months
J.JakesR.et al (1988)
Pernicious anemia is a chronic form of vitamin B12 deficiency anemia caused by the bodys inability to absorb vitamin B12 effectively
Maillart, E., Acquaviva-Bourdain, C., Rigal, O., Brivet, M., Jardel, C., Lombes, A., Eymard, B., Vianey-Saban, C., and Laforet, P
Provides protective effects against age-related cognitive decline and neurodegeneration by supporting neuronal health, promoting synaptic resilience, and enhancing cellular repair mechanisms
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