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Case presentation The patient is a 48 year old man with hyperPP from a familial autosomal dominant sodium channel point mutation in the SCN4A gene at position 704 with a Threonine to Methionine substitution that lead to symptoms starting in early childhood

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The transition from weekly injections to monthly maintenance paradigms like MariTide and Pfizers candidate is a massive leap forward for patient compliance and long-term adherence

Our experience shows that the most successful protocols are those that pair an aggressive, results-driven active with a powerful, barrier-supportive ingredient