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Symptoms like nausea, fatigue, reflux and other gastrointestinal symptoms are common during the early weeks of treatment and after dose increases
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UK dosing schedules, per BNF and NICE CKS, are as follows: Without neurological involvement: 1 mg IM three times a week for 2 weeks, then 1 mg IM every 23 months [14] [15] With neurological involvement: 1 mg IM on alternate days until no further improvement, then 1 mg IM every 2 months Patients should not self-initiate supplementation without first discussing it with their GP or prescribing clinician
Without adequate iron, tissues receive less oxygen and energy production suffers
Yaghubi E, Daneshpazhooh M, DJalali M, Mohammadi H, Sepandar F, Fakhri Z, Ghaedi E, Keshavarz SA, Balighi K, Mahmoudi H, Zarei M, Javanbakht MH (2019) Effects of l -carnitine supplementation on cardiovascular and bone turnover markers in patients with pemphigus vulgaris under corticosteroids treatment: a randomized, doubleblind, controlled trial
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