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Options include stepping back to a previous tolerated dose for an additional 4 weeks, reducing the current dose by half and escalating more slowly, or adding prescription anti-nausea medication (ondansetron is commonly used)

Increased Energy Levels: B12 is crucial for energy production

PMID: 37429996 Razmaray H, Nasiri E, Vakilipour P, Morsali S, Moradi A, Ebrahimian A, Rashidi S, Mosaddeghi-Heris R, Sadigh-Eteghad S, Naseri A (2024) The effects of melatonin supplementation on neurobehavioral outcomes and clinical severity in rodent models of multiple sclerosis

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