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StatPearls notes that high-dose oral B has been shown effective for maintenance, but recommendations are to always use the parenteral route in severe neurological manifestations

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Galluzzi, L., Vitale, I., Kepp, O

Studies have shown that the fermentation broth of LAB can regulate intestinal health, which may be caused by metabolites derived from fermentation such as acetic acid, butyric acid, lactic acid, acetaldehyde, and acetoin (39)

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CLOBETASOL PROPIONATE- clobetasol propionate cream Glenmark Pharmaceutcials Inc., USA ---------- Clobetasol Propionate Cream USP, 0.05% contains the active compound clobetasol propionate, USP, a synthetic corticosteroid, for topical dermatologic use