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14 weeks Reduced tingling & burning for some patients 23 months Better sensation, improved balance, reduced pain 6 months+ Nerve repair and long-term function improvement Severe or long-standing neuropathy may require ongoing treatment

Moreover, concerns about exposure to cyanide poisoning are eliminated when hydroxocobalamin is used

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Window Off-cycle (4+ weeks) What's commonly tracked Symptom resolution, fasting markers What it tells you Off-time is when insulin sensitivity and IGF-1 receptor sensitivity recover