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Healthy 67-year-old, but with history of idiopathic, paroxysmal atrial fibrillation

Importantly, ADAs against originator anti-TNF- will cross-react with the relative biosimilar leading to treatment failure [137]

They are an add-on, not the foundation

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When neurological symptoms are present, more intensive treatment is required: 1 mg hydroxocobalamin on alternate days until no further improvement occurs, followed by maintenance therapy every two months

Better than anything else you can get for a B12 and appetite suppression