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When surgery is necessaryafter 6-12 months of comprehensive conservative treatmentmodern techniques have come a long way

The frequency of hydroxocobalamin injections depends on the indication and the patients B levels

These include measuring methylmalonic acid (MMA) and homocysteine levels in the blood

Dehydration : Fluid shifts and losses can cause significant dehydration, particularly concerning for elderly patients or those with renal impairment
