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It can also mean that just because a thing is silent or calm it isnt dangerous

1 Mecobalamin 50 mg or placebo was administered intramuscularly twice weekly for 16 weeks to 130 ALS patients who had suffered from ALS for less than one year, were classified as definite, probable, or probable-laboratory supported according to the Updated Awaji Criteria, had an ALS severity rating of grade 1 or 2, had a decrease of 1 or 2 points in the total score on the Revised ALS Functional Rating Scale-Revised (ALSFRS-R) 12 weeks prior to administration, and had a forced vital capacity (%FVC) of more than 60%

10.1523/JNEUROSCI.20-24-09207.2000 [DOI] [PMC free article] [PubMed] [Google Scholar] Thiruchelvam M., Richfield E

If you frequently miss doses, consider setting reminders or consulting your healthcare provider for advice on how to improve your medication adherence