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(1) Learn More About Kidney Stone Symptoms and When to Seek Treatment Causes and Risk Factors of Kidney Stones Some people are more likely to develop kidney stones than others

Patients should be reviewed 812 weeks after commencing treatment to assess: Symptomatic improvement, particularly resolution of fatigue and neurological symptoms Haematological response (normalisation of haemoglobin and mean cell volume) Reticulocyte count typically rises within one week, indicating bone marrow response Repeat serum B12 testing is generally not useful after starting parenteral therapy, as levels remain elevated for months

Protein needs (generally 0.8-1.0 grams per kilogram body weight, with adjustments for kidney disease) should be prioritized

If you miss a dose and the next scheduled dose is more than two days away, take the missed dose as soon as possible after consulting with your medical professional