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Some people report increased alertness from B12, while others notice no effect

Unfortunately, there is no evidence that any of these agents modify the underlying pathophysiology of peripheral neuropathy.(16) Studies have shown that high doses of methylcobalamin improved nerve conduction in streptozotocin-diabetic rats.(17) This was again demonstrated in experimental acrylamide neuropathy, where high doses of methylcobalamin were associated with a significant increase in the rate of motor nerve fibre regeneration.(18) This may be the mechanism through which methylcobalamin acts to modify and treat the underlying pathophysiology of peripheral neuropathy

SAS Institute, Cary, NC, USA)

The lesions may heal in 3 to 6 weeks, but patients with severe EM may need to be hospitalized for antiviral therapy, hydration, analgesics, and systemic steroids (106, 109)