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Retrieved from Eden Integrative Medicine
In this case the physician would administer a pulse steroid which is a few days of a high dose of intravenous steroid in order to maintain the oral dose or even taper off the oral dose
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And to do that all of the other delivery methods that could be used need to be thoroughly evaluated, not only as to their effectiveness in correcting the patients B12 Deficiency, but also in how the patient responds to particular delivery methods
While limited formal research exists on combination protocols, clinical experience and mechanistic understanding provide guidance on potentially synergistic approaches
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