Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months
But HPLC and mass spectrometry the tests behind that number were never designed to detect contamination
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The first hypothesized mechanism is via the stimulation and secretion of the VEGF, leading to the growth of blood vessels in the area surrounding the hair follicles