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The topical version of minoxidil is available over the counter (primarily under the brand name Rogaine) at concentrations of 2-5%, and by prescription at stronger concentrations of 10-15%
After first use (first needle puncture), the vial should be used within 28 days
Competition is therefore high, with new anti-obesity medications (AOMs) battling for market access and share of a rapidly growing private market, and the public market, vying for reimbursement, underpinned by evidence of positive outcomes in treated populations
For followup therapy 2-3 ampoules are given per week
Methylmalonic acid is especially helpful when standard B12 levels appear falsely elevated but symptoms remain
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