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Available on the World Wide Web at: Standing Committee on the Scientific Evaluation of Dietary Reference Intakes-Panel on Folate, Other B Vitamins, and Choline and the Subcommittee on Upper Reference Levels of Nutrients, Food and Nutrition Board, Institute of Medicine (IOM)

However, individual responses may vary, and monitoring for increased side effects or reduced efficacy of either medication is prudent

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Baseline and periodic monitoring might include: Complete blood count to assess for anemia Ferritin levels (iron stores), with management of documented iron deficiency per clinical guidelines Vitamin D, B12, and folate levels Zinc levels if deficiency is suspected based on clinical presentation Thyroid function tests to exclude concurrent thyroid dysfunction A standard multivitamin may be appropriate for individuals with significantly reduced food intake, with targeted supplementation based on laboratory results

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