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Follow the guidelines given by your provider strictly

NICE guidance emphasises that treatment should not be delayed whilst awaiting confirmatory blood results if clinical suspicion is high

Additionally, B12 deficiency in infants can lead to lethargy, decreased appetite, and failure to thrive

1,6 Furthermore, a recent randomized trial comparing three different BoNTA formulations in patients with synkinesis observed no major adverse events

If a product is intended to produce a local effect along the GI lining, a low blood concentration would not necessarily mean the delivery design failed