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Cyanocobalamin and hydroxocobalamin are the top choices

For others, it might take a few weeks of consistent injections before you notice a change if your symptoms are more complicated, such as numbness, exhaustion, or memory problems

They also help keep the liver, skin, hair, and eyes healthy

In clinical trials for Barth syndrome, evidence suggests the drug is highly effective, yielding a 20-25% improvement in a six-minute walk test and a 40-50% improvement in leg extension strength

Citation135 Besides, Johnstone et al Citation174 found that the combined use of the chemotherapeutic drug ADM and multiple mammalian and plant-derived AMPs significantly increased the sensitivity of drug-resistant cells to ADM, thus improving the anti-tumor activity of ADM