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Practical management Ask about muscle symptoms after starting or increasing dose Measure CK if there is significant myalgia or weakness Check LFTs if symptoms suggest liver injury Stop, reduce, or switch the statin if severe muscle toxicity occurs, while correcting reversible risk factors

The honest answer to how often you should get MIC-B12 injections is that frequency is set by a prescribing provider for the individual, not by a one-size schedule from an article

Your liver and kidneys gradually process and clear the compound through normal metabolic pathways

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thus, these differences in measurement methods may not be significant to this study