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Our approach emphasizes measured, evidence-informed support, guided by clinical assessment rather than trend-driven use

In 2 randomized, double-blind, placebo-controlled studies of adult chronic migraine sufferers, many study participants experienced a 50% reduction in headache days each month (8 to 9 days fewer headaches) through the use of BOTOX

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Common causes include liver disease (which releases stored B12), kidney disease (reducing B12 clearance), haematological malignancies, solid tumours, and excessive supplementation