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When to stop or modify protocols Discontinue or modify protocols if symptoms worsen progressively, if new neurological symptoms develop, if allergic reactions occur, or if significant side effects emerge

1 For some, the dose, frequency and way vitamin B12 replacement is given may need to be adjusted or changed for it to work properly 1 the efficacy and costeffectiveness of oral treatment in wider population-based settings has yet to be established

It is suggested that A induces changes in neuronal membrane fluidity due to its interactions with components in the membrane such as gangliosides, cholesterol, and phospholipids

This possibility warrants future investigation and may inform the development of strategies aimed at improving host resilience to infection and tissue damage