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Whereas more research is needed on the use of amphetamines in MS, a recent small pilot clinical trial demonstrated that methylphenidate improved mental fatigue in people with MS

Psychiatry 23, 247256

10.1038/mp.2016.168 Mol

Reasons for non-enrollment were mostly due to poor performance status or withheld consent

However, it is in the interest of consumers to know that despite the rarity of adverse events in response to dietary supplementation, there are still no safety requirements for manufacturers in Europe and the United States to market their supplements
