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Additionally, In the limited head-to-head trials available, ALC demonstrated comparable effectiveness to commonly used antidepressants, especially, Selective Serotonin Reuptake Inhibitor (SSRI), Serotonin-Norepinephrine Reuptake Inhibitor (SNRI), Tetracyclic Antidepressant (TeCA), Noradrenergic and Specific Serotonergic Antidepressant (NaSSA), Atypical Antipsychotics like Amisulpride used at low doses for antidepressant effects in this meta-analysis

You might have heard about vitamin B12 injections as a potential solution

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