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We recommend that patients with SLE (and others with abnormal immune systems) who have been vaccinated still practice strict social distancing

If using the powder, the dosing is usually 5,000, 10,000, or 20,000 units

B12 is usually obtained through nutrition

Then, we change the dose and how often they get it based on test results and how theyre doing

While animal studies cannot definitively rule out human cancer concerns, the consistent absence of tumors or pre-cancerous changes across multiple species, dosing regimens, and administration routes carries meaningful weight