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The results are clearly positive and show that LC supplementation is effective in alleviating symptoms in patients with MD [63], but the number of participants in this study is limited, and larger clinical trials are needed to confirm the relevant effects

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As no differences between the treatment groups and the applicability of the pain scores could be demonstrated, it appears highly unlikely that the additional medications have influenced the study results meaningfully

Moreover, it is very rare that any forms of vitamin B12 are found in plant-based foods, making a dietary supply of B12 difficult for vegans to obtain (see here: Vitamin B12 for Vegetarians and Vegans)