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Your GP may arrange periodic blood tests to ensure B12 levels remain adequate, though clinical response is generally more important than specific blood values once treatment is established

an appropriate solute must be added first

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Excretion Pathways Limited data on combined excretion indicates: Primarily renal elimination of peptide fragments Hepatic metabolism contributes to overall clearance Copper recycling through normal physiological pathways No evidence of accumulation in chronic dosing studies (animal models) The relationship between rapid plasma clearance and prolonged biological effects represents a key area requiring further mechanistic investigation across all three components