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Participants are randomized 1:1 to receive D+Q or placebo administered for two consecutive days out of every fifteen days across three months with an extended nine-month follow-up after the intervention

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The Vital Functions of Vitamin B12 This remarkable vitamin serves as a fundamental co-factor in numerous bodily processes: Red blood cell formation : B12 is essential for producing healthy red blood cells that efficiently carry oxygen throughout your body DNA synthesis : It helps create and regulate DNA, affecting how your genetic instructions are carried out Nerve function : B12 maintains the myelin sheath that protects nerves and enables proper signalling Energy metabolism : It plays a key role in converting food into cellular energy Brain health : B12 is involved in neurotransmitter production and cognitive function Cardiovascular health : It helps regulate homocysteine levels, supporting heart health Despite its importance, B12 is unique among vitamins in that the body cannot produce it