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Although treatment with NSAIDs or short-term corticosteroids may relieve symptoms, it will not stop the progression of the disease

In the UK, hydroxocobalamin is the standard licensed preparation for injection, as recommended by NICE and the BNF, due to its superior retention in the body
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[PubMed] [Google Scholar] Gamulin O, Serec K, Bili V, et al

It's then twisted to form a locked, tight connection