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Washout & review Allow full washout (~5 half-life: ~Hours (systemic))

Bone marrow examination (rarely needed) showing erythroid hyperplasia

Malabsorption Sometimes your body may be unable to absorb folate as effectively as it should

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Patients should seek urgent medical attention if they experience: Severe or persistent abdominal pain (possible pancreatitis or gallbladder complication) Signs of dehydration (dizziness, reduced urine output) due to vomiting or diarrhoea Symptoms of hypoglycaemia (shakiness, sweating, confusion) or hyperglycaemia (excessive thirst, frequent urination) Severe headache or visual disturbance (possible raised intracranial pressure) Signs of an allergic reaction (rash, swelling, difficulty breathing) Regular monitoring should include fasting glucose, HbA1c, IGF-1, lipid panels, liver function, and renal function

The bones were kept humid continually