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Treatment with  should be initiated and carried out under the supervision of a doctor who has experience in the treatment of multiple sclerosis. Since fingolimod reduces the number of lymphocytes in the blood (by redistributing them in the secondary lymphoid organs), the number of lymphocytes in the peripheral blood can be used to evaluate the different lymphocyte populations in patients treated with the drug. Patients receiving fingolimod, to determine the number of mononuclear cells requires large volumes of blood sampling (due to the reduction in the number of circulating lymphocytes)….

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