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American Journal of Translational Research , 13(2), pp.448461

The enlargement could be due to insufficient GTP levels needed to complete autophagy

Alternatively (and this is the approach I take for many patients), if you are experiencing significant symptomatic improvement then you can just continue to take the B12 shots indefinitely

Wash the hands thoroughly with soap and warm water

Following a diet rich in vitamin C is also useful, as is limiting or eliminating substances that intoxicate us, including smoking, excess alcohol, unnecessary over-the-counter medications, etc

In some embodiments, the thickening agent or viscosity enhancer or viscosity modulating agent is not poloxamer 407