High-dose oral supplements (often 10002000 micrograms daily) or intramuscular injections (typically 1mg hydroxocobalamin) used to treat pernicious anaemia or deficiency states can temporarily elevate serum levels
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Keep out of reach of children
A medical evaluation may include history, medication review, physical examination, stool testing when appropriate, blood work, inflammatory markers, nutrient testing, thyroid review, metabolic markers, referral for gastroenterology evaluation, or other targeted steps depending on the symptoms
One of the notable aspects of this first etanercept trial was the nature of the PsA patients enrolled, which has been mirrored in most other trials of TNF inhibitors in PsA since then