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Lysosomes contain approximately 60 different soluble hydrolases that hydrolyze glycosaminoglycans, phospholipids, and a range of proteins, and cytosolization results in the release of a large number of stored substances from secreted lysosomes (80)

Baseline: CBC, B12, folate, iron studies Repeat B12 levels 1 month after loading dose Annual checks for chronic therapy Monitor potassium during initial treatment Neurological exams for neuropathic symptoms B12 injections can "mask" megaloblastic anemia from folate deficiency while allowing neurological damage to progress

Tickle of both feet elicited no response, although noxious stimuli resulted in withdrawal movements

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Blood clots that travel to your lungs or heart can interfere with blood flow and become a medical emergency