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318,319 Expression of mutant DMD gene results in progressive muscle degeneration leading to various problems with locomotion, ambulation, as well as deficits of cardio-vascular and respiratory systems

Malnutrition and Dehydration: In extreme cases, the cumulative impact of reduced food intake, frequent vomiting, and the bodys inability to absorb nutrients effectively can result in malnutrition

Vitamin B12 deficiency is particularly relevant in older patients and in anyone taking metformin concurrently, as metformin is known to reduce B12 absorption

Specialists recommend not removing it for at least 12 hours after the injection session