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Criteria for treatment and management Optimum maintenance dose is 1000 g at intervals of 12 weeks Follow-up annual blood count is required to avoid relapse You see the obsession with blood values and yet no instruction to listen to patients, some of whom relapse only a matter of days post injection

Mitochondria are remodelled in response to metabolic changes (Melser et al., 2015

The Homocysteine Pathway Homocysteine is a naturally occurring amino acid produced during the metabolism of another amino acid called methionine

[1] Intramuscular administration bypasses absorption issues, making it effective regardless of the underlying cause

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