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If stress is clearly affecting your rest, DSIP may help on multiple levels

FASEB J 19:15046, PMID: 15972297 Kanno T, Nishizaki T (2001) Sphingosine induces apoptosis in hippocampal neurons and astrocytes by activating caspase-3/-9 via a mitochondrial pathway linked to SDK/14-3-3 protein/Bax/cytochrome c

Furthermore, the requirement for B12 supplementation in patients following a STG is variable and not universal as it is post-TG

It also has been shown to improve cognitive function and memory in animal models of Alzheimers disease

Its designed as maintenance therapy after initial injections in conditions like pernicious anemia