Homocysteine has a couple of drawbacks
Ultrasound guided injections of corticosteroids are commonly recommended for people with runners knee as they are a quick and effective treatment with low risk of complications
Also, it acts as a major anti-oxidant, that helps to improve the immune system and also helps in the treatment of the liver, by detoxifying the body
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If the decision is made to continue patients on topiramate in the face of persistent acidosis, consider alkali treatment