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Contact your provider for severe GI symptoms, persistent vomiting, signs of pancreatitis, or other concerning reactions

Adjustments to dosages or changes in supplement choices should be made under medical supervision

Despite these choices, some patients with RRMS may not respond adequately to the initial therapy, necessitating a switch to alternative DMTs to better manage disease progression and activity

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This is especially important for perni-cious anemia patients or anyone suffer-ing from high homocysteine levels