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In younger women, this can cause diminished ovarian reserve or premature ovarian insufficiency that can lead to fertility problems

Medical Professional Updates Healthcare providers often receive early information about new medication approvals and availability

Monitoring recommendations: Baseline investigations: Full blood count, B12 level, folate, and intrinsic factor antibodies (if pernicious anaemia suspected) During initial treatment: Potassium monitoring in severe deficiency (risk of hypokalaemia) Follow-up: Repeat full blood count after 8 weeks to confirm haematological response Long-term: Annual review to ensure compliance with maintenance injections

Received: Accepted: Published: Issue date: DOI: Comments We note with interest the novel antibiotic identified by Ling and co-authors (Ling, L.L

After absorption, dihydroberberine quickly re-oxidizes non-enzymatically back to active berberine in intestinal tissues [119], acting as a stealth transporter that bypasses P-glycoprotein efflux