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Tetrahydrofolic acid, methyltetrahydrofolate, and other folic acid congeners are essential for the maintenance of normal erythropoiesis and are also required cofactors for the synthesis of purine and thymidylate nucleic acids

Contraindicated in patients with hypersensitivity to Methylcobalamin or related components

Persistent or worsening symptoms beyond the initial treatment period should prompt medical review

You have to ignore the idea that you are upsetting the doctor, or that you are insulting them by questioning poor decisions about your health and wellbeing

In more advanced cases of anemia, blood transfusions may be used

Another test is often done around the eight-week mark to confirm that the treatment has successfully corrected the deficiency