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Continue budesonide indefinitely until she is pregnant Use a biological as a steroid-sparing agent Use tofacitinib as it is another oral agent that is convenient Stop the use of budesonide and evaluate the response Answers V.1

There are studies to confirm that sublingual B12 supplementation is equally, if not more effective than intramuscular administration for correcting a B12 deficiency

If you had used 2 mL of water instead of 1.5, the concentration would be lower (2.5 mg/mL) and your highest dose would require 96 units, nearly the entire syringe