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Monitoring and follow-up: practical guidance For patients starting injections, baseline labs should include B12 level, complete blood count and, when indicated, renal function

Beyond that date, you are in uncharted territory

As a doctor, theres a lot of burden on your shoulders when you are prescribing something with insufficient evidence, but the patients insist on giving it a try. With no formal approvals surrounding their use from regulatory bodies like the Drugs Controller General of India (DCGI), they are considered off-label treatments

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Serious adverse events are rare