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The presence of very high LDH levels and a low reticulocyte count and a relatively milder thrombocytopenia in our patient also favors the cause as pseudo-thrombotic microangiopathy (TMA) caused by cobalamin deficiency over TTP.[5] Although testing for ADAMTS-13 levels would have been ideal if it is available to rule out TTP

Most providers transition patients to a higher concentration vial once they pass the 1.0 mg weekly dose

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This article explains what ARA-290 is, how it works, what conditions it has been studied in, and how integrative medicine views its role in chronic inflammatory and neurologic conditions

Compounded drugs are not FDA-approved