Most people feel only a mild pinch lasting a few seconds
The available data indicate the following potential effects of synthetic TB4 (TB-500): TB-500 may help the healing of the eye cornea, as noted in a 28-day phase-2 study in nine patients with severe dry eye
Cryotherapy presents fewer concerns about long-term use

Assuming that the percentage of patients showing an increase in serum vitamin B12 concentration to above 179 pg/ml in both groups is 70%, means the study requires at least 304 patients (152 in each arm) for a threshold of non-inferiority of 10% and a statistical power of 60% with significance set at p 179 pg/ml: patient preference questionnaire Randomisation of patients to treatment group Visit 1 (start of treatment) Anamnesis: record whether the patient lives alone or with others, lifestyle habits, use of alcohol, whether a vegan diet is followed, whether the patient has undergone gastrectomy Symptoms: record paresthesia, asthenia, loss or reduction of appetite, sadness or change in state of mind, concomitant pharmacological treatment Physical examination: for Hunters glositis, positional and vibrational sensitivity Questionnaires: Lobo cognitive mini-exam, EuroQoL-5D Record concomitant treatment Request analyses to be performed one week before next visit: haemogram and serum vitamin B12 Therapeutic plan: patient in oral arm provision of medication

Caloric Restriction Caloric restriction is the reduction of dietary calories (by up to 40%) while still maintaining good nutrition
Dermatomal pain, but no rash