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Dec 3 2013;4:193

It also has hydroxocobalamin - a natural form of B12 that's used more slowly and provides continuous support

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A 2012 Cochrane Review of pooled data from three trials examining tracheostomy-free survival in 974 patients treated with riluzole and 503 placebo-treated patients demonstrated a statistically significant increase in survival from 11.8 months to 14.8 months, but without any benefit on measures of muscle strength