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It is generally agreed that hepatocellular hypertrophy may be an important qualitative metric, but grading the severity of hypertrophy is less precise than relying on liver weight or quantitative measurement of enzyme induction

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We suggest regular blood tests to check: Serum Vitamin B12 levels Methylmalonic acid (MMA) and homocysteine levels Complete Blood Count (CBC) to monitor for signs of anemia These results help us adjust the dose

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