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In addition to topical steroids, there are also non-steroidal and injectable options that can significantly improve disease controlespecially in moderate to severe or longstanding cases, including childhood eczema, says Mona Gohara, M.D.,a board-certified dermatologist in Connecticut and an associate clinical professor of dermatology at Yale School of Medicine

In congenital pernicious anemia, low serum total B12 concentrations arise from B12 malabsorption caused by mutations in a gene (GIF,CBLIF) and defects in the synthesis of intrinsic factor

To minimize these symptoms, patients may try eating small meals or avoiding food before treatment

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This should only be considered under close medical supervision with careful monitoring