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13 A recent survey of 204 patients suggested that oral B 12 was associated with less effective symptom improvement than parenteral treatment

However, it can also be administered slowly intravenously or subcutaneously (injected into a vein or under the skin)

Other forms of dermatoses reported in association with TNF alpha inhibitors tend to occur less often than psoriasiform eruptions and include eczema, leukocytoclastic vasculitis, lupus erythematosus, and granulomatous dermatitis

B12 injections provide a direct dose of vitamin B12, a crucial nutrient responsible for red blood cell production, DNA synthesis, and supporting the nervous system