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And a randomized controlled trial that included 151 subjects with tinnitus found no differences in outcomes after 18 months of treatment with tinnitus retraining therapy, tinnitus-specific counseling alone, or basic tinnitus care that involved providing educational information and guidance

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Since this is a multi-dose vial with a preservative, it can be used for multiple doses in the same patient

[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency