5 Hospital Universitario Rio Hortega, Department of Neurology, Valladolid, Spain The Journal of Headache and Pain 2026 , 27(S1): P592 Objective To evaluate the longitudinal progression of white matter structure in patients with migraine with positive and no response to fremanezumab 12 weeks after the first administration
Rotating injection sites is essential to prevent tissue damage (lipohypertrophy for SubQ, muscle fibrosis for IM), but mixing SubQ and IM routes within the same protocol introduces uncontrolled pharmacokinetic variability
However, LiPo batteries require more tender loving care than regular batteries
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The ability to target anti-TNF-alpha activity to the intestine could help to thwart these drawbacks and would also allow for higher dosing and thus better disease control