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M-Strong PG is a fixed-dose combination pharmaceutical product developed and marketed by Lloyd Healthcare, primarily indicated for the management of neuropathic pain associated with diabetic peripheral neuropathy. The formulation contains two active ingredients: pregabalin (75 mg) and methylcobalamin (750 mcg). Pregabalin is a gabapentinoid that binds to the alpha-2-delta subunit of voltage-gated calcium channels in the central nervous system, which reduces the calcium-dependent release of excitatory neurotransmitters such as glutamate and substance P. Methylcobalamin, a coenzyme form of Vitamin B12, acts as a cofactor for the enzyme methionine synthase, facilitating the conversion of homocysteine to methionine and supporting the synthesis of phospholipids required for myelin sheath regeneration and nerve repair. Although Lloyd Healthcare categorizes this product within its cardio-diabetic portfolio, M-Strong PG is specifically used for the neurological complications of diabetes rather than the direct treatment of cardiovascular disease or glycemic control.
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