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High-dose oral cyanocobalamin (1,000 mcg daily) or intramuscular hydroxocobalamin injections are the preferred supplementation routes, as both bypass the need for intrinsic factor

Psoriatic arthritis nails show pitting (small depressions across the nail surface), onycholysis (separation of the nail from the nail bed), subungual hyperkeratosis (thickening under the nail), and oil drop discolouration (a yellowish patch visible through the nail)

Dietary Factors: Vitamin B12 consumption and following dietary guidelines can impact dosage selections

Kawas later CEO of Athira Pharma altered images in her dissertation and in four or more co-authored papers between 2011 and 2014

Laboratory research record on HCG [PMID: 259039] PubMed laboratory record discussing HCG in a research context