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Tone was normal in the bilateral upper extremities but decreased bilaterally in the distal lower extremities

Maintenance phase: Once the loading phase is complete, patients transition to maintenance therapy with 1 mg hydroxocobalamin intramuscularly every two to three months for life

Understanding these differences matters not just for effectiveness, but also for safety

The tarsal strip procedure

This means the appetite suppression does not continue to increase proportionally with dose beyond a certain point

This minimally invasive procedure offers both relief and cosmetic enhancement by targeting problematic veins directly