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23 For anticoagulated patients, one strategy sometimes considered is switching warfarin to a direct oral anticoagulant (DOAC) during Ramadan for convenience, since DOACs (like apixaban or rivaroxaban) have fixed dosing and no dietary interactions

The timing can vary, but many find administering in the morning or before exercise convenient

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Once your levels are normal, you can switch to a B12 supplement

[16] After this initial phase, the frequency is reduced

A touch-up should be done within the following 4 to 6 months after the first Botox application since the effect of the botulinum toxin gradually diminishes