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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

If a meniscal tear is causing the knee to swell, then arthroscopy can be helpful in decreasing the pain from the meniscus tear and decreasing the swelling caused by the irritation of the meniscus tear

Nepal, M., Mohamed, M.F., Blade, R., Eldesouky, H.E., N, A.T., Seleem, M.N., et al., ACS Infect