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These vitamins are essential cofactors in energy metabolism, myelin integrity, and neurotransmitter synthesis

Above all, this work reflects the dedication of investigators, site teams, and patientswhose trust, collaboration, and commitment made this study possible

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Specifically, robust evidence from large-scale, multicenter randomized controlled trials is still needed to conclusively establish efficacy, determine optimal dosing and timing strategies, and fully evaluate safety before widespread clinical adoption in RDS management can be recommended

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