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The authors concluded that only methylcobalamin has a positive psychotropic alerting effect with a distribution of the sleep-wake cycle toward sleep reduction. More cases Heres a case of a 13 year-old boy with adrenoleukodystrophy who developed a sleep-wake disorder after a complete loss of vision

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Its not uncommon in medicine to encounter situations where a treatment, especially one addressing a longstanding deficiency, might initially seem to exacerbate symptoms