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Let your doctor know how youre doing After three months, your doctor will check in to see if you have any questions or concerns

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24 25 Some patients may experience recurrence or worsening of symptoms when the interval between injections is extended or extended too quickly, and report that continuation of frequent intramuscular hydroxocobalamin injections, varying between twice weekly and once every three to four weeks, 65 is needed to remain asymptomatic

The Copenhagen trial measured circulating biomarkers but did not perform tissue biopsies, so we don't know whether NNMT suppression in non-adipose tissues produces structural or functional changes over time