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Shielding vials in amber glass or opaque containers helps

B12 adequacy is directly relevant here since B12 deficiency independently causes cognitive symptoms and mood disturbance, which is another reason the B12-containing formulation is preferred for long-term use

In patients, whereby IM injections are contraindicated because of coagulopathy or the use anti-coagulation and/or anti-platelet medication, oral replacement is the best option

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MicroRNA-155 Participates in the Expression of LSD1 and Proinflammatory Cytokines in Rheumatoid Synovial Cells