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The specific thresholds that should prompt dose reduction or discontinuation include: ALT or AST elevation exceeding 3 times the patient's baseline value, new or worsening coagulopathy (INR increase of 0.5 or more from baseline), albumin decline below 2.5 g/dL, or new clinical signs of hepatic decompensation such as worsening ascites, encephalopathy, or jaundice [5]
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Although after 4 to 6 injections if they do not feel any benefits then there is a possibility that the B12 is more than likely not going to be effective
02 Step Two Injection Administration The B12 injection is administered intramuscularly typically into the deltoid or gluteal muscle in under two minutes
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