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Oral high-dose or sublingual preparations may be considered as alternatives in some patients, but only where agreed with the clinical team and with appropriate monitoring, as absorption via these routes is less predictable after sleeve gastrectomy

Fragment ions at m/z of 92.1 and 77.9 were additionally used for the detection and confirmation of 1-MNA, respectively

Symptoms evolve over months or years, yet clinicians often have only minutes and incomplete information to make critical decisions

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