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During corticosteroid therapy may occur psychological disorders such as: euphoria, insomnia, mood swings, depression or personality disorders and even severe depression or psychosis

In the absence of a gold-standard test to define B12 deficiency, many cases are slipping through the net

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Temperature exposure and accelerated expiration The printed expiration date assumes proper storage

Keep in mind that oral B is not well absorbed in people who truly lack intrinsic factor or have certain GI issues, which is why B is usually injected or given as a high-dose sublingual in those cases