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Patients with epilepsy and other neuropsychiatric symptoms who receive cobalamin replacement therapy may resolve or even completely recover [84, 90,91,92,93]
These reactions are typically mild and resolve on their own
When in doubt, ask your care team for advice on whats right for you
Insulated medication travel cases with gel ice packs maintain 2 to 8 degrees C for 24 to 48 hours, which is sufficient for most travel scenarios
Off-label use in this population should involve pediatric endocrinologists with expertise in weight management
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