Overview

SCIENTIFIC SCORE
Possibly Effective
Based on 13 Researches
7.7
USERS' SCORE
Good
Based on 5 Reviews
8.6
Supplement Facts
Serving Size: 1 Lozenge
Amount Per Serving
%DV
Folate
167 mcg DFE(100 mcg folic acid)
42%
Vitamin B-12 (as Cyanocobalamin)
1 mg (1,000 mcg)
41,667%

Top Medical Research Studies

We explored the potential of a folate-aminopterin construct, known as EC2319, in treating multiple sclerosis (MS) using a focal model in rats. Our study involved 40 Lewis rats, with some receiving the treatment and others serving as controls. This design allowed us to assess how effectively EC2319 could reduce inflammation and lesion development associated with a chronic progressive form of MS.

Interestingly, we found that EC2319 was well tolerated by the rats and significantly reduced both inflammation and lesion development, indicating a promising therapeutic avenue for MS. In our investigations, we also used a specific imaging method (Ga-FOL) to assess the inflammatory lesions, enhancing our understanding of the treatment’s effects.

Furthermore, we examined postmortem brain samples from MS patients and discovered that they contain FR-β-positive cells in areas of chronically active plaques. This finding suggests that the approach we tested in rats may have relevance for human patients, opening doors for future research into targeted treatments for MS.
Read More
9
Folate may reduce MS risks
We delved into the relationship between dietary patterns and multiple sclerosis (MS) to uncover the potential influence of folate on the condition. The study utilized genetic data from large-scale genome-wide association studies, particularly focusing on dietary habits and their connection to MS risk and severity.

Our findings indicated that an increased intake of folic acid may play a beneficial role in reducing both the risk and severity of MS. Specifically, genetically predicted higher folic acid intake was associated with a lower risk of developing MS and a decline in its severity. This suggests that incorporating more folate-rich foods into our diets could help with MS management.

However, it’s essential to note that the study didn't isolate folate from other dietary components. As a result, while we observed a positive correlation between folate and MS outcomes, we can’t confidently conclude that folate alone is the deciding factor in these improvements. Nevertheless, these insights could guide future dietary recommendations for those at risk of or managing MS.
Read More
8
Folate impacts multiple sclerosis research
We explored the connection between folate receptor alpha autoantibodies (FRAA) and relapsing-remitting multiple sclerosis (RRMS). The study involved 54 patients with RRMS and 58 healthy individuals, intending to understand if these autoantibodies could play a role in the disease. Our analysis revealed that patients with RRMS had significantly higher serum levels of FRAA, averaging 67.20 ng/ml, compared to 37.32 ng/ml in healthy controls.

Notably, 85.18% of RRMS patients tested positive for these autoantibodies, in contrast to just 46.55% of those in the control group. This indicates a strong association between high FRAA levels and RRMS, suggesting that these autoantibodies may hinder folate transport to the brain, potentially impacting myelin stability and health.

While our findings highlight a notable prevalence of FRAA in RRMS patients, they do not specifically evaluate whether folate treatment itself improves patients' conditions. Thus, while understanding how folate mediates effects in these patients is crucial, we can’t conclude that folate treatment alone is effective without further focused studies.
Read More

Most Useful Reviews

9.5
Improved mood
I have been taking B12 for six months and have noticed I am more balanced, less aggressive, less anxious, and much cheerier. I sleep better now, all thanks to B12, which strengthens the nervous system. It is vital for individuals with autoimmune diseases. I have multiple sclerosis and will need it for life! Cheers to Ayherb for this vitamin.
Read More
8.8
Improved well-being
Excellent. Useful for individuals with neurological conditions like multiple sclerosis. I take B12 alongside magnesium. The best method is sublingually, as it is absorbed poorly when swallowed. It's an inexpensive supplement that lasts a long time, although it dissolves over 15-20 minutes. I feel it enhances my overall well-being; especially during hot weather, there is no weakness. If this review is helpful, a plus would be appreciated.
Read More
8
Pain management
Great! Vitamin B12 is crucial as it helps alleviate pain and prevents pernicious anaemia, heart attacks, and strokes. Alone, it aids in treating nervous diseases, anaemia, depression, hypertension, and multiple sclerosis. Usage: Adults should take one tablet daily with meals for a month. If needed, the dose can be repeated after a month. Vitamin B12 serves as 'food' for the nerves, ensuring proper nervous system function and aiding nerve growth and repair, while also supporting energy metabolism and preventing fatigue.
Read More

Medical Researches

SCIENTIFIC SCORE
Possibly Effective
Based on 13 Researches
7.7
  • All Researches
9
Folate may reduce MS risks
We delved into the relationship between dietary patterns and multiple sclerosis (MS) to uncover the potential influence of folate on the condition. The study utilized genetic data from large-scale genome-wide association studies, particularly focusing on dietary habits and their connection to MS risk and severity.

Our findings indicated that an increased intake of folic acid may play a beneficial role in reducing both the risk and severity of MS. Specifically, genetically predicted higher folic acid intake was associated with a lower risk of developing MS and a decline in its severity. This suggests that incorporating more folate-rich foods into our diets could help with MS management.

However, it’s essential to note that the study didn't isolate folate from other dietary components. As a result, while we observed a positive correlation between folate and MS outcomes, we can’t confidently conclude that folate alone is the deciding factor in these improvements. Nevertheless, these insights could guide future dietary recommendations for those at risk of or managing MS.
Read More
We explored the potential of a folate-aminopterin construct, known as EC2319, in treating multiple sclerosis (MS) using a focal model in rats. Our study involved 40 Lewis rats, with some receiving the treatment and others serving as controls. This design allowed us to assess how effectively EC2319 could reduce inflammation and lesion development associated with a chronic progressive form of MS.

Interestingly, we found that EC2319 was well tolerated by the rats and significantly reduced both inflammation and lesion development, indicating a promising therapeutic avenue for MS. In our investigations, we also used a specific imaging method (Ga-FOL) to assess the inflammatory lesions, enhancing our understanding of the treatment’s effects.

Furthermore, we examined postmortem brain samples from MS patients and discovered that they contain FR-β-positive cells in areas of chronically active plaques. This finding suggests that the approach we tested in rats may have relevance for human patients, opening doors for future research into targeted treatments for MS.
Read More
9
Folate improves life quality in MS
We conducted a study to see how vitamin B12 and folate supplementation affects patients with relapsing-remitting multiple sclerosis (RRMS), particularly focusing on homocysteine levels and overall quality of life. A total of 50 patients participated, with half receiving the vitamins and the other half getting a placebo. Our findings were quite promising!

We observed a significant decrease in mean homocysteine levels and an improvement in anemia status among those taking the vitamins. Specifically, their hemoglobin levels rose, and the size of red blood cells decreased, which indicates better blood health. More impressively, the vitamin group reported substantial improvements in both their physical and mental quality of life scores, highlighting how these nutrients might help MS patients feel better overall.

Interestingly, while the placebo group also experienced some mental health improvements, our study underscores the potential benefits of vitamin B12 and folate supplementation for patients struggling with MS. It appears that these vitamins could play a vital role in enhancing the quality of life by addressing both physiological and psychological aspects of the disease.
Read More
We explored the impact of high doses of B vitamins—specifically B1, B6, and B12—on patients with relapsing-remitting multiple sclerosis (MS) who experienced persistent visual difficulties after acute optic neuritis. In a pilot study involving sixteen patients, each participant took 300 mg of vitamin B1, 450 mg of vitamin B6, and 1,500 mcg of vitamin B12 daily for a period of 90 days, alongside their existing disease-modifying therapies.

The results were encouraging. We observed significant improvements in visual acuity and foveal sensitivity threshold after treatment. For example, visual acuity showed a notable enhancement (p = 0.002), while foveal sensitivity also improved substantially (p = 0.006). Additionally, correlations between age and visual outcomes indicated that younger patients tend to benefit more in terms of visual function recovery.

Importantly, our findings suggest that high-dose vitamin B12, in conjunction with other B vitamins, can positively affect visual function in MS-related visual disability. However, it's essential to note that while vitamin B12 is part of this promising combination therapy, its isolated effects warrant further investigation.
Read More
8
Folate impacts multiple sclerosis research
We explored the connection between folate receptor alpha autoantibodies (FRAA) and relapsing-remitting multiple sclerosis (RRMS). The study involved 54 patients with RRMS and 58 healthy individuals, intending to understand if these autoantibodies could play a role in the disease. Our analysis revealed that patients with RRMS had significantly higher serum levels of FRAA, averaging 67.20 ng/ml, compared to 37.32 ng/ml in healthy controls.

Notably, 85.18% of RRMS patients tested positive for these autoantibodies, in contrast to just 46.55% of those in the control group. This indicates a strong association between high FRAA levels and RRMS, suggesting that these autoantibodies may hinder folate transport to the brain, potentially impacting myelin stability and health.

While our findings highlight a notable prevalence of FRAA in RRMS patients, they do not specifically evaluate whether folate treatment itself improves patients' conditions. Thus, while understanding how folate mediates effects in these patients is crucial, we can’t conclude that folate treatment alone is effective without further focused studies.
Read More

User Reviews

USERS' SCORE
Good
Based on 5 Reviews
8.6
  • All Reviews
  • Positive Reviews
  • Negative Reviews
9.5
Improved mood
I have been taking B12 for six months and have noticed I am more balanced, less aggressive, less anxious, and much cheerier. I sleep better now, all thanks to B12, which strengthens the nervous system. It is vital for individuals with autoimmune diseases. I have multiple sclerosis and will need it for life! Cheers to Ayherb for this vitamin.
Read More
8.8
Improved well-being
Excellent. Useful for individuals with neurological conditions like multiple sclerosis. I take B12 alongside magnesium. The best method is sublingually, as it is absorbed poorly when swallowed. It's an inexpensive supplement that lasts a long time, although it dissolves over 15-20 minutes. I feel it enhances my overall well-being; especially during hot weather, there is no weakness. If this review is helpful, a plus would be appreciated.
Read More
8
Pain management
Great! Vitamin B12 is crucial as it helps alleviate pain and prevents pernicious anaemia, heart attacks, and strokes. Alone, it aids in treating nervous diseases, anaemia, depression, hypertension, and multiple sclerosis. Usage: Adults should take one tablet daily with meals for a month. If needed, the dose can be repeated after a month. Vitamin B12 serves as 'food' for the nerves, ensuring proper nervous system function and aiding nerve growth and repair, while also supporting energy metabolism and preventing fatigue.
Read More
8.8
Pain relief
Super vitamin B12! It helps alleviate pain and prevents pernicious anaemia, heart attacks, and strokes. It can aid in treating nervous diseases, anaemia, depression, hypertension, and multiple sclerosis.
Read More
8
Essential vitamin
Vitamin B12 is essential as it helps eliminate pain and prevents pernicious anaemia, heart attacks, and strokes. It can assist in treating nervous diseases, anaemia, depression, hypertension, and multiple sclerosis.
Read More

Frequently Asked Questions

Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, specifically the brain and spinal cord. In MS, the immune system mistakenly attacks the protective covering of nerve fibers known as myelin, leading to inflammation and damage. This disruption in communication between the brain and different parts of the body can result in a wide range of symptoms, including fatigue, difficulty walking, numbness, and problems with vision. The severity and types of symptoms can vary significantly from person to person, as well as over the course of the disease, which may manifest in cycles of exacerbations and remissions.

There are several forms of MS, including relapsing-remitting MS (the most common type), primary progressive MS, and secondary progressive MS. While the exact cause of MS is still not fully understood, factors such as genetic predisposition and environmental triggers are believed to play a role. Currently, there is no cure for MS, but treatment options exist that can help manage symptoms, reduce the frequency of flare-ups, and slow the progress of the disease. If you or someone you know is experiencing symptoms suggestive of MS, it is essential to consult a healthcare professional for an accurate diagnosis and tailored management plan.

Vitamin B12, also known as cobalamin, is a water-soluble vitamin that plays a crucial role in several vital functions in the human body. It is essential for red blood cell formation, neurological function, and DNA synthesis. Naturally occurring in animal products, the vitamin can be found in high concentrations in meat, fish, eggs, and dairy, making it particularly important for those following a vegetarian or vegan diet, as plant-based sources of B12 are limited and often require supplementation.

A deficiency in vitamin B12 can lead to serious health issues, including anemia, fatigue, memory problems, and nerve damage. Due to its significance, it's crucial for individuals, particularly those at risk of deficiency, to ensure adequate intake through diet or supplementation. For most adults, the recommended daily allowance (RDA) is around 2.4 micrograms, though pregnant or breastfeeding women may require higher amounts. If you're considering B12 supplements, it's advisable to consult with a healthcare provider to determine the best option for your specific needs and health status.

Based on user reviews, the duration it typically takes to notice results from taking Vitamin B12 for Multiple Sclerosis can vary significantly. Some users report feeling improvements in overall well-being and decreased symptoms after as little as six months of consistent use (Read Review). Others suggest that one should take the supplement daily for at least a month before evaluating its effects, indicating that users may need to give it a moderate amount of time to kick in (Read Review).

Moreover, the method of intake plays a crucial role in effectiveness; for instance, sublingual consumption is noted as more beneficial compared to swallowing the tablet, as it enhances absorption (Read Review). Overall, while some users experience noticeable benefits over several months, consistency is key, and initial results may not be immediate. Those considering B12 supplementation for Multiple Sclerosis are encouraged to maintain usage over weeks to see tangible improvements in their symptoms.

The current research on the effects of folate and related B vitamins on Multiple Sclerosis (MS) presents mixed results. Some studies indicate that higher dietary folate intake may correlate with reduced MS risk and severity, suggesting potential benefits from increased consumption of folate-rich foods [1]. However, other studies emphasize the complexity of these relationships, noting that the effects of folate supplementation alone are not conclusively established [3].

Further analysis shows that while folate and vitamin B12 are linked to improvements in some physiological aspects and overall quality of life among MS patients, definitive evidence supporting folate as a standalone effective treatment is lacking [6], [7]. This indicates a need for more focused studies to disentangle the specific impacts of folate from other dietary components and consider its role in conjunction with other treatments. Thus, while folate presents promising potential as part of a dietary strategy for managing MS, further research is essential to validate its effectiveness [2], [5].

Users have reported a variety of improvements in their symptoms after incorporating Vitamin B12 into their routine, particularly those living with multiple sclerosis. Many individuals, such as one reviewer who has taken B12 for six months, cite enhanced emotional well-being—experiencing decreased anxiety and aggression, along with improved mood and better sleep quality (Read Review). Others highlight greater balance and overall well-being, especially when taking the supplement sublingually to boost absorption (Read Review).

Moreover, users commonly emphasize the vitamin's role in alleviating pain and contributing to the functionality of the nervous system, with one user mentioning its importance for various conditions, including depression, hypertension, and nerve-related diseases (Read Review). Overall, while many users have found tangible relief and benefits from Vitamin B12, it's essential to note that individual experiences may vary, and consistent usage, alongside proper intake methods, appears crucial for optimal results.

Users have reported varying experiences when combining Vitamin B12 with other supplements for handling Multiple Sclerosis. One reviewer mentioned taking B12 alongside magnesium, highlighting improved overall well-being and enhanced functionality, especially during hot weather (Read Review). This combination appears to support not only their neurological condition but also helps maintain energy levels, as they specifically noted a lack of weakness under challenging conditions.

Additionally, several users emphasized the critical importance of Vitamin B12 for individuals with Multiple Sclerosis, often citing its general health benefits in improving nervous system functionality and alleviating pain associated with nervous diseases (Read Review). As such, while it appears effective on its own, the integration of B12 with other supplements like magnesium could complement its effects, promoting better symptom management for those dealing with the complexities of Multiple Sclerosis.

Based on user reviews, vitamin B12 is reported to be significantly beneficial for individuals dealing with Multiple Sclerosis (MS). Users emphasize the importance of B12 for strengthening the nervous system and improving overall mood, with one user stating, "I have multiple sclerosis and will need it for life!" (Read Review). Alongside this, users suggest that B12 may also alleviate pain and improve well-being, particularly in hot weather, reinforcing its potential role in managing neurological conditions like MS (Read Review).

As for the right dosage, recommendations vary, but a common practice is to take one tablet of B12 daily with meals. One reviewer noted that this can be repeated after a month if necessary (Read Review). This aligns with the consensus that B12 is crucial for nerve health and overall energy, with users expressing satisfaction in its long-term use (Read Review). Therefore, while individual responses may vary, a daily supplement appears to be a widely endorsed approach for individuals with MS.

9.5
Improved mood
I have been taking B12 for six months and have noticed I am more balanced, less aggressive, less anxious, and much cheerier. I sleep better now, all thanks to B12, which strengthens the nervous system. It is vital for individuals with autoimmune diseases. I have multiple sclerosis and will need it for life! Cheers to Ayherb for this vitamin.
8
Pain management
Great! Vitamin B12 is crucial as it helps alleviate pain and prevents pernicious anaemia, heart attacks, and strokes. Alone, it aids in treating nervous diseases, anaemia, depression, hypertension, and multiple sclerosis. Usage: Adults should take one tablet daily with meals for a month. If needed, the dose can be repeated after a month. Vitamin B12 serves as 'food' for the nerves, ensuring proper nervous system function and aiding nerve growth and repair, while also supporting energy metabolism and preventing fatigue.
8.8
Improved well-being
Excellent. Useful for individuals with neurological conditions like multiple sclerosis. I take B12 alongside magnesium. The best method is sublingually, as it is absorbed poorly when swallowed. It's an inexpensive supplement that lasts a long time, although it dissolves over 15-20 minutes. I feel it enhances my overall well-being; especially during hot weather, there is no weakness. If this review is helpful, a plus would be appreciated.
9
Folate may reduce MS risks
We delved into the relationship between dietary patterns and multiple sclerosis (MS) to uncover the potential influence of folate on the condition. The study utilized genetic data from large-scale genome-wide association studies, particularly focusing on dietary habits and their connection to MS risk and severity.

Our findings indicated that an increased intake of folic acid may play a beneficial role in reducing both the risk and severity of MS. Specifically, genetically predicted higher folic acid intake was associated with a lower risk of developing MS and a decline in its severity. This suggests that incorporating more folate-rich foods into our diets could help with MS management.

However, it’s essential to note that the study didn't isolate folate from other dietary components. As a result, while we observed a positive correlation between folate and MS outcomes, we can’t confidently conclude that folate alone is the deciding factor in these improvements. Nevertheless, these insights could guide future dietary recommendations for those at risk of or managing MS.
7
Dietary impacts on MS mood
We explored how dietary interventions, specifically the low-saturated fat Swank diet and the modified Paleo Wahls diet, along with folate and vitamin B supplements, influence mood in individuals with relapsing-remitting multiple sclerosis (RRMS).

In a clinical trial that included 77 participants, we measured mood using the Hospital Anxiety and Depression Scale (HADS) and the Mental Health Inventory (MHI) over a 24-week period. Blood samples taken at four different points during the study allowed us to analyze serum levels of homocysteine, vitamin B, and folate to see if these factors were linked to mood improvements.

While both dietary approaches demonstrated significant positive effects on mood, we found that changes in serum levels of homocysteine, folate, and vitamin B did not contribute to these improvements. This suggests that the enhanced mood may not be directly connected to the biochemical changes we measured in the blood.

Overall, while we observed positive mood changes in participants following the Swank and Wahls diets, the specific contribution of folate and vitamin B supplementation by itself remains uncertain.
9
Folate improves life quality in MS
We conducted a study to see how vitamin B12 and folate supplementation affects patients with relapsing-remitting multiple sclerosis (RRMS), particularly focusing on homocysteine levels and overall quality of life. A total of 50 patients participated, with half receiving the vitamins and the other half getting a placebo. Our findings were quite promising!

We observed a significant decrease in mean homocysteine levels and an improvement in anemia status among those taking the vitamins. Specifically, their hemoglobin levels rose, and the size of red blood cells decreased, which indicates better blood health. More impressively, the vitamin group reported substantial improvements in both their physical and mental quality of life scores, highlighting how these nutrients might help MS patients feel better overall.

Interestingly, while the placebo group also experienced some mental health improvements, our study underscores the potential benefits of vitamin B12 and folate supplementation for patients struggling with MS. It appears that these vitamins could play a vital role in enhancing the quality of life by addressing both physiological and psychological aspects of the disease.
We looked into how dietary intake, specifically focusing on folate, might influence fatigue levels in people living with multiple sclerosis (MS). Fatigue is a common and often debilitating symptom for those with MS, affecting up to 90% of patients at some stage. Given the limited effectiveness of current medication options for relieving this symptom, many individuals are seeking alternative strategies, including dietary changes.

Our investigation used a systematic approach to gather studies that examined the effects of holistic dietary patterns on fatigue perceptions among adults with MS. While we found that dietary intake has the potential to contribute to reducing fatigue, the evidence surrounding folate's specific impact remains inconclusive. Some findings suggest that adequate intake of magnesium and folate could possibly lead to decreased fatigue levels, but we must emphasize that clear and solid conclusions cannot be drawn from the existing studies.

Ultimately, while there is a hint that folate could play a role in lessening fatigue, we cannot isolate its effect definitively based on the current body of research.
8
Folate impacts multiple sclerosis research
We explored the connection between folate receptor alpha autoantibodies (FRAA) and relapsing-remitting multiple sclerosis (RRMS). The study involved 54 patients with RRMS and 58 healthy individuals, intending to understand if these autoantibodies could play a role in the disease. Our analysis revealed that patients with RRMS had significantly higher serum levels of FRAA, averaging 67.20 ng/ml, compared to 37.32 ng/ml in healthy controls.

Notably, 85.18% of RRMS patients tested positive for these autoantibodies, in contrast to just 46.55% of those in the control group. This indicates a strong association between high FRAA levels and RRMS, suggesting that these autoantibodies may hinder folate transport to the brain, potentially impacting myelin stability and health.

While our findings highlight a notable prevalence of FRAA in RRMS patients, they do not specifically evaluate whether folate treatment itself improves patients' conditions. Thus, while understanding how folate mediates effects in these patients is crucial, we can’t conclude that folate treatment alone is effective without further focused studies.
We aimed to explore how nutritional intake, particularly folate, influenced daily function and quality of life in individuals with mild-to-moderate multiple sclerosis (MS). In this cross-sectional pilot study, we included 20 adult volunteers who were ambulatory and had varying degrees of disability due to MS. By assessing their dietary habits alongside various physical and self-reported performance measures, we gathered valuable insights into the role of folate and other nutrients.

Our findings indicated positive correlations between dietary fat, folate, iron, magnesium, and the overall quality of life as reflected in the Short Form Health Survey. Increased fat intake and lower carbohydrate intake were associated with better performance in the 6-Minute Walk Test, while micronutrients like folate showed significance in relation to physical functioning. However, we did not isolate the effects of folate specifically; rather, we observed it in conjunction with other dietary factors.

This pilot study suggests a potential connection between diet, including folate, and improved function in individuals with MS. It encourages further exploration of how specific nutrients may play a critical role in managing the challenges posed by this condition.

References

  1. Nan H. Causal effects of dietary composition on multiple sclerosis risk and severity: a Mendelian randomization study. Front Nutr. 2024;11:1410745. doi:10.3389/fnut.2024.1410745
  2. Mashayekhi F, Hadipour E, Shabani S, Salehi Z. Folate receptor alpha autoantibodies in the serum of patients with relapsing-remitting multiple sclerosis (RRMS). Clin Neurol Neurosurg. 2024;237:108161. doi:10.1016/j.clineuro.2024.108161
  3. Shemirani F, Titcomb TJ, Saxby SM, Eyck PT, Rubenstein LM, et al. Association of serum homocysteine, folate, and vitamin B and mood following the Swank and Wahls elimination dietary interventions in relapsing-remitting multiple sclerosis: Secondary analysis of the WAVES trial. Mult Scler Relat Disord. 2023;75:104743. doi:10.1016/j.msard.2023.104743
  4. Elo P, Li XG, Liljenbäck H, Gardberg M, Moisio O, et al. Efficacy and tolerability of folate-aminopterin therapy in a rat focal model of multiple sclerosis. J Neuroinflammation. 2021;18:30. doi:10.1186/s12974-021-02073-7
  5. Bromley L, Horvath PJ, Bennett SE, Weinstock-Guttman B, Ray AD. Impact of Nutritional Intake on Function in People with Mild-to-Moderate Multiple Sclerosis. Int J MS Care. 2019;21:1. doi:10.7224/1537-2073.2017-039
  6. Nozari E, Ghavamzadeh S, Razazian N. The Effect of Vitamin B12 and Folic Acid Supplementation on Serum Homocysteine, Anemia Status and Quality of Life of Patients with Multiple Sclerosis. Clin Nutr Res. 2019;8:36. doi:10.7762/cnr.2019.8.1.36
  7. Pommerich UM, Brincks J, Christensen ME. Is there an effect of dietary intake on MS-related fatigue? - A systematic literature review. Mult Scler Relat Disord. 2018;25:282. doi:10.1016/j.msard.2018.08.017
  8. Hesamian MS, Shaygannejad V, Golabi M, Mirmosayyeb O, Andalib A, et al. The Role of Cobalamin on Interleukin 10, Osteopontin, and Related MicroRNAs in Multiple Sclerosis. Iran J Allergy Asthma Immunol. 2022;21:332. doi:10.18502/ijaai.v21i3.9806
  9. Mandić M, Mitić K, Nedeljković P, Perić M, Božić B, et al. Vitamin B Complex and Experimental Autoimmune Encephalomyelitis -Attenuation of the Clinical Signs and Gut Microbiota Dysbiosis. Nutrients. 2022;14. doi:10.3390/nu14061273
  10. Taherian N, Vaezi G, Neamati A, Etemad L, Hojjati V, et al. Vitamin B12 and estradiol benzoate improve memory retrieval through activation of the hippocampal AKT, BDNF, and CREB proteins in a rat model of multiple sclerosis. Iran J Basic Med Sci. 2021;24:256. doi:10.22038/IJBMS.2021.51469.11681
  11. Mallone F, Lucchino L, Franzone F, Marenco M, Carlesimo SC, et al. High-dose vitamin B supplementation for persistent visual deficit in multiple sclerosis: a pilot study. Drug Discov Ther. 2020;14:122. doi:10.5582/ddt.2020.03031
  12. Pan L, Yin Y, Chen J, Ma Z, Chen Y, et al. Homocysteine, vitamin B12, and folate levels in patients with multiple sclerosis in Chinese population: A case-control study and meta-analysis. Mult Scler Relat Disord. 2019;36:101395. doi:10.1016/j.msard.2019.101395
  13. Motte J, Kneiphof J, Straßburger-Krogias K, Pitarokoili K, Fisse AL, et al. Hereditary defect of cobalamin metabolism with adolescence onset resembling multiple sclerosis: 41-year follow up in two cases. Ther Adv Neurol Disord. 2019;12:1756286419872115. doi:10.1177/1756286419872115
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