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Within the Bliss independence model calculation, synergy is assumed when the actual effect of the combination is greater than the expected effect, i.e., if the Bliss score is greater than 0 (40)

(National Institute of Health or NIH Vitamin B12 shots are normally available by prescription only, although dosage varies depending on age and medical history

However, neurological damage present for longer periods may be partially or completely irreversible, emphasising the importance of early diagnosis and treatment