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Not following these preparation guidelines may result in an inaccurate result
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If neurological symptoms are present, treatment is more intensive: 1 mg on alternate days until no further improvement occurs, then maintenance doses of 1 mg every 2 months
New or worsening neurological symptoms (such as progressive numbness, ataxia, or significant cognitive changes) warrant urgent assessment and should not be ignored, as delayed treatment may result in permanent nerve damage
Follow label guidance and your healthcare providers recommendations
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