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Some naturopathic practitioners in the US may also offer methylcobalamin injections or IVs

doi: 10.3389/fnut.2024.1433390 Received 15 May 2024 Accepted 30 September 2024 Published 30 October 2024 Volume 11 - 2024 Edited by Anna Maria Aloisi, University of Siena, Italy Reviewed by Vahidreza Ostadmohammadi, Kashan University of Medical Sciences, Iran Anna Petroni, University of Siena, Italy Thomas Herdegen, University of Kiel, Germany Updates Copyright 2024 Hajhashemy, Golpour-Hamedani, Eshaghian, Sadeghi, Khorvash and Askari

In older adults or those with renal/hepatic impairment, individualized dosing and monitoring may be needed

That does not make ALA a cure for neuropathy

Disruption in brain energy metabolism is considered a proposed cause of migraine attacks (28)