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Physicians should exercise caution and adjust or alter therapy in a timely manner based on patient reactions

The WHOs Guidelines for Drinking Water Quality state that pH should be under 8 for chlorine to be effective for the disinfection of water supplies

2026 Jan 2;10(1):e25.00236

neuropathy), effective replacement therapy should lead to a normal full blood count and B12 level after 8 weeks of treatment, while improvement in neurological symptoms begins very quickly within one week of initiation of therapy but can take up to 3 months to resolve (Carmel, 2008)

These effects are believed to result from enhanced fatty acid oxidation and improved cellular energy balance, contributing to overall metabolic health optimization