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Important Notes Practical points that keep weekly administration safe and consistent

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cost and convenience favor oral once stable

To minimize the possibility that hepatic injury will become severe between transaminase measurements, physicians should inform patients of the warning signs and symptoms of hepatotoxicity (e.g., nausea, fatigue, lethargy, diarrhea, pruritus, jaundice, right upper quadrant tenderness, and "flu-like" symptoms), and the appropriate action patients should take if these signs and symptoms appear

Finding a clinic that understands these requirements and can communicate in English is the first step toward a seamless transition

My B12 level was also 10 times higher than normal, which was the proof that I needed