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Corticosteroids such as prednisone, dexamethasone, methylprednisolone, and a closely related drug known as repository corticotropin injection (Acthar Gel) can help suppress disease activity during acute flares, or when there is severe kidney or central nervous system (brain and spine) involvement

Those are both peptides

Some patients love getting them weekly, while others prefer a more spaced-out schedule

Its also useful if your Methylmalonic Acid (a B12 status marker) is high or your MCV (red blood cell size) is up

Sending to Medicare causes rejection

For those who fall outside these categories and have normal serum B12 levels, an injection is a discretionary wellness choice not a medical treatment