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Toxicol Appl Pharmacol 219 (2-3): 181

It keeps the myelin around your nerves intact, which is why long-term deficiency can show up as tingling, numbness or memory slips

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Other FDA-approved drugs, including donepezil, galantamine, rivastigmine, and memantine, have demonstrated cognitive benefits but are frequently associated with gastrointestinal disturbances, dizziness, agitation, and, in some cases, severe hepatotoxicity, as observed with tacrine (Marucci et al., 2021

PMID 16581914

The results often last up to 12 months