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Researchers discovered that Dihexa had a unique ability to cross the blood-brain barrier , enhance synapse formation , and support BDNF (brain-derived neurotrophic factor) a protein essential to brain health and neuroplasticity

When neurological symptoms are present, more intensive treatment is required: 1 mg hydroxocobalamin on alternate days until no further improvement occurs, followed by maintenance therapy every two months

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This risk may be compounded when taking semaglutide, necessitating more vigilant monitoring and potential supplementation in elderly patients