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You may find that you need more or less, depending on several factors including whether or not you are severely B12 deficient or just want a daily maintenance dose

Initial effects moderate as regulatory systems recalibrate to the new normal

By the end of a full course, some describe the underlying condition as changed rather than just managed

Glucocorticoids GH inhibits 11-hydroxysteroid dehydrogenase type 1 (11HSD-1), a microsomal enzyme required for conversion of cortisone to its active metabolite, cortisol, in hepatic and adipose tissue

Patient Education: Thoroughly educate patients about these potential side effects and how to mitigate them