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This consistent schedule is key to preventing your levels from dipping again
For patients with unexplained mental and motor developmental delay, seizures, recurrent acute encephalopathy, and systemic multisystem manifestations, it is important to conduct early diagnostic investigations such as cranial MRI, EEG, plasma amino acid metabolism, urine organic acid metabolism analysis, CSF metabolism, and genetic testing to clarify the diagnosis
Others stay on a maintenance dose
methylcobalamin is a reasonable alternative for this group
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