Regardless of the protocol chosen, all patients should limit use to 90 consecutive days , followed by a 30-day washout period
Difficulty walking, maintaining balance, and swollen, inflamed tongue: Difficulty with physical coordination can sometimes be caused by a deficiency of Vitamin B12
The difference between vial and pen storage primarily relates to air exposure: vials with unused doses can be re-capped and re-refrigerated between uses, while pens are single-use devices that must be discarded once opened, even if medication remains
Avoid duplicating high doses unless advised
Renal effects, including acute kidney injury, have been reported rarely in post-marketing surveillance, typically in the context of severe gastrointestinal adverse effects leading to dehydration
[2] Age and overall health status also play important roles