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Intrathecal baclofen for spasticity-related pain in amyotrophic lateral sclerosis: efficacy and factors associated with pain relief

Documentation should include the insulin type, dosage, frequency, route of administration, and indication that it's part of the patient's long-term treatment plan

For patients whose levels fall in the borderline or gray zone, a methylmalonic acid (MMA) test provides greater specificity MMA levels rise when B12 is functionally inadequate at the cellular level, even if serum B12 appears borderline normal

The same biology delivers the benefit and the tolerability problem

Measurements, progress photos, strength numbers, and how clothing fits provide better feedback than the scale, which may remain relatively stable while significant fat-to-muscle ratio improvements occur