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Description
BOMSS guidance further specifies monitoring responsibilities: specialist multidisciplinary team (MDT) follow-up is recommended for at least two years after surgery, with lifelong monitoring thereafter, typically in primary care

Compliance was tracked meticulously

You may need to lower the dose while your child adjusts, try compounding it, trial 5MTHF instead, or introduce calming supplements

Set expectations based on body composition measurements, progress photos, and waist circumference rather than scale weight
