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Description
It has been proposed that the pathophysiology of IIM could be attributed to increased cell death, inadequate removal of cell debris, and excessive autoantigens and pro-inflammatory cytokines, which eventually result in over-stimulated immunological and inflammatory responses (152)

B12 injections are generally safe with minimal side effects when properly administered
Six weeks is a fair trial

If side effects last beyond a week or progressively worsen, protocol modification or discontinuation is warranted
This deficiency leaves the joints vulnerable
By reducing oxidative stress, glutathione supports cellular repair and may help stabilize immune signaling over time
