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The primary efficacy measures were the patients survival rate (time to death or full ventilation support) and their changes in functional ability (measured by ALSFRS-R scores)

Methylcobalamin is used in the treatment of the following diseases: vitamin B12 deficiency pernicious anemia, amyotrophic lateral sclerosis (ALS), peripheral and diabetic neuropathies

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To prevent nerve damage and expedite recovery, daily injections of vitamin B12 are most effective