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This is used to treat pernicious anemia, metabolic disorder, and nerve disease

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A Meta-analysis

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Despite some authors reporting the necessity for a reduced dosage of botulinum toxin in patients with idiopathic paralysis in comparison to those with other aetiologies, no statistically significant difference in dosage was observed when BTX-A was used in our cohort [28]

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UK guidelines recommend monitoring clinical response and full blood count (typically at around 2 months) to ensure treatment adequacy, rather than routinely rechecking B12 levels after replacement has started

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However, ongoing research is needed to better understand how these findings translate to human health outcomes

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