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If symptoms return before the next planned injection, seek clinical advice instead of changing the schedule yourself

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After euthanasia, the knee joints were surgically exposed, and the femoral and tibial condyles were examined for gross morphological changes

This maintenance phase begins only after the initial deficiency has been corrected and the patients blood markers have stabilized within the normal range

The first accurate description of spinal cord pathology associated with certain types of anemia was by German physician Ludwig Lichtheim (1845-1926), who described three cases, two with autopsy (149)