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doi: 10.1016/j.plefa.2005.04.011

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Several experimental papers also explored interactions involving dopamine pathways, serotonin signaling, and alpha-2 adrenergic activity, particularly within stress-response and behavioral regulation models
Vitamin B12 Injections : For severe deficiencies, pernicious anemia, or significant digestive problems that block absorption, injections are the gold standard

However, many patients successfully reduce oral steroid doses by 50% under physician supervision
