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Diagnosis The diagnostic procedure for fibromyalgia is not nearly as simple or straightforward as health practitioners would like

The Annals of Pharmacotherapy

Patients with Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

If the patient needs to transport the medication (e.g., traveling), it should be carried in a cooler bag with ice packs to maintain the cold chain

In other words, the schedule is a sensible default that a clinician can adjust, not a fixed rule you should try to bend on your own