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Finally, if the serum cobalamin concentration at the time of reevaluation is subnormal [lower than normal], further work-up is required to definitively diagnose the underlying disease process and cobalamin supplementation should be continued weekly or bi-weekly

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It is important to monitor these side effects and discuss any concerns with a medical provider who can provide guidance on managing these side effects or adjust the treatment plan as needed

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Because policies differ from plan to plan, its always worth checking directly with your insurance provider to see what your benefits include

It can also interact with reduced oxygen species to form hydroxyl radical that inactivates enzymes and disrupts the membranes and organelles 44