Ethics declarations Competing interests J.M.R has been a paid consultant to Aquestive Pharmaceuticals, Danone Nutricia, Mallinckrodt, Eisai Pharma and Zogenix, and has served on the Scientific Advisory Board of The Charlie Foundation for Ketogenic Therapies (Santa Monica, CA, USA)
The highest ALT elevation was greater than 500 which is approximately 10 times the upper limit of normal
method ( Intra -Muscular) This requires a 1 inch needle
You can request a consultation to explore whether this approach fits your needs.
Reasons for differences in observed incidence are intensity of isocyanate exposure, criteria for diagnosis, mode of calculation, sensitizing capacity of different isocyanates, individual predisposition and confounding factors
Most cases are discovered incidentally during routine blood tests, prompting further investigation to identify any associated medical conditions