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This follows the natural weekly cycle of the medication and helps minimize the risk of overlapping gastrointestinal side effects

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Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections

Received: Accepted: Published: Issue date: DOI: Comments We note with interest the novel antibiotic identified by Ling and co-authors (Ling, L.L

In younger women, this can cause diminished ovarian reserve or premature ovarian insufficiency that can lead to fertility problems