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Description
The conservative approach is to continue using the vial but be aware that effectiveness may be reduced

Causes include poor dietary intake, absorption issues (like gastrointestinal disorders), and chronic health conditions

The 3 B were restarted (FA 5 mg daily) for Hcy which by then had reached 18 umol/L

2 This is a marginalised group in terms of accessing care and the findings of the current study indicate that four out of 10 choose to SMVI, which unguided is an unsafe practice
