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4 Folate (vitamin B9) deficiency is also common in those with MTHFR
In UK practice, monitoring is primarily based on clinical response rather than routine blood tests
Additionally, do not shake the vial
Day 1 Right abdomen (systemic) Day 2 Left abdomen (systemic) Day 3 Right upper back flank (local) Day 4 Left upper back flank (local) Day 5 Right abdomen (systemic) Day 6 Left abdomen (systemic) Day 7 Alternate back flank (local) For thoracic spine injuries specifically, local injection near the affected area may provide additional benefit by delivering higher local concentrations while still achieving systemic distribution
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