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Repletion of vitamin B12 may improve response in patients resistant to antidepressants (10) , and in older adults with major depression, long-term supplementation with a combination of B12, B6, and folic acid enhanced antidepressant treatment efficacy (40)

The mechanisms are not yet fully understood in humans, but preclinical studies point to several overlapping pathways, said Hsiangkuo (Scott) Yuan, MD, associate professor at Thomas Jefferson University, clinical research director at Jefferson Headache Center, and one of the study authors

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Hexarelin is more potent and carries additional cardioprotective and neuroprotective properties, while ipamorelin is more selective, stimulating growth hormone without significantly affecting cortisol or prolactin levels

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