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Stop DFP/DFX 3/12 before conception, switch to DFO For females: Joint management of pregnancy and increased risks: cardiomyopathy, osteoporosis, haemosiderosis off-chelation, diabetes (risk for foetus), osteoporosis, infection Review by cardiologist at 28/40 gestation Can re-start DFO from second trimester and continue through breast-feeding (not DFP or DFX) See also: thalassaemia pregnancy management plan

If you see blood in the syringe, dont inject

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From delayed reimbursements to denial rates, practic