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See the respective method for antibody information

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However, choosing a time that minimizes nausea and maximizes appetite suppression during your heaviest eating hours can make adherence easier, which indirectly supports better results over time

Your doctor will typically monitor your response and perhaps repeat blood tests for vitamin levels (or relevant markers like homocysteine levels, complete blood count, etc.) after a certain number of injections

Common clinical manifestations present with neurological symptoms, such as developmental delay, intellectual disability, delayed speech, autistic behavior, and/or varying degrees of epilepsy, ranging from occasional to intractable seizures