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This result may be due to the confounders which were not considered by the researcher in advance, which makes the result rather unreliable

[DOI] [PubMed] [Google Scholar] 61.Lee M, Wardlaw SL

If you do not feel a dramatic change in the first 48 hours, that is completely normal and does not mean the shot is not working

Other risk factor is homocysteine (Hcy) accumulation in plasma (Hogervorst et al., 2002
