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County officials and harm-reduction researchers point to expanded naloxone distribution, lower fentanyl concentration in the local drug supply and broader Medicaid coverage of medication-assisted treatment as the most likely drivers of the decline

The timeline for neurological benefits tends to be longer than for musculoskeletal applications, with users typically reporting gradual improvement over weeks to months

The same authors also reported that having normal vitamin D levels was linked to better outcomes for many cancer patients, improved quality of life, and overall health (41)

In most affected individuals the deficiency state goes unrecognized, while in some it causes episodic or chronic anemia