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We see patients in Chiang Mai and Phuket, and regularly support individuals in Bangkok, Pattaya, Hua Hin, Krabi, and Koh Samui

Evidence also suggests that B12 deficiency can cause inflammation and damage to blood vessels, as well as oxidative stress, which combined can interrupt normal blood flow to the feet (Spence, 2016)

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Learn more about viscosupplementation and discover if gel injections are right for you

MEPSEVII (vestronidase alfa-vjbk) dosing chart Recommended Infusion Rate Schedule by Patient Weight for Administration of MEPSEVII at Recommended Dose of 4 mg/kg MEPSEVII (vestronidase alfa-vjbk) dosing chart Recommended Infusion Rate Schedule by Patient Weight for Administration of MEPSEVII at Recommended Dose of 4 mg/kg Calculating the Dose Weigh the patient to determine the number of vials to be diluted based on the patients weight and the recommended dose of 4 mg/kg Total dose (mg) = Patients weight (kg) x 4 mg/kg (recommended dose) Total number of vials = Total dose (mg) divided by 10 mg/vial Round to the next whole vial to determine the final total volume and number of vials needed based on the patients weight Volume (mL) of calculated dose = Total dose (mg) divided by the 2 mg/mL concentration Calculating the Dose Weigh the patient to determine the number of vials to be diluted based on the patients weight and the recommended dose of 4 mg/kg Total dose (mg) = Patients weight (kg) x 4 mg/kg (recommended dose) Total number of vials = Total dose (mg) divided by 10 mg/vial Round to the next whole vial to determine the final total volume and number of vials needed based on the patients weight Volume (mL) of calculated dose = Total dose (mg) divided by the 2 mg/mL concentration