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A patient on high-dose prednisone experiences reduced lupus flares but also faces increased susceptibility to every cold, flu, and opportunistic infection

Hydroxocobalamin is a long-acting, highly bioavailable form of B12, making it a preferred choice for both clinical use and B12 deficiency correction

Prognosis may be variable, depending on the degree of clinical involvement, particularly the degree and duration of metabolic acidosis and the effectiveness in preventing overwhelming sepsis

When taken orally, it primarily interacts with the gut lining, which may be helpful in models of: Ulcer healing ( Stark et al., 2017 ) Inflammatory bowel conditions ( Sikiric et al., 2015 ) Intestinal barrier protection ( Stark et al., 2017 ) However, oral peptides are subject to breakdown by stomach acid and digestive enzymes, which can limit their absorption into the bloodstream ( Sikiric et al., 2015 )