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The accumulation of ROS damages cochlear cells, particularly OHCs, leading to apoptosis and subsequent auditory dysfunction

Lower doses or careful monitoring may be necessary to avoid accumulation and increased side effects

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Many patients notice improvements in pain, inflammation, or recovery within 1-2 weeks, though timing varies based on the condition being addressed, severity of injury, route of administration, and individual healing capacity

Once I tried supplementing between shots with a cyanocobalamin spray