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Still, larger studies, including patients from other parts of the world and a longer treatment period, are needed to validate methylcobalamins therapeutic effects in this subset of ALS patients, the authors noted.

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A good candidate has no history of neuromuscular disease, no previous allergic reactions to Botox or lidocaine (please mention these to us, as we have different options available for patients with allergies), and is not pregnant or breastfeeding