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For healthcare workers with routine N2O exposure, regular B12 screening and maintenance protocols are essential, along with proper training on N2O-B12 interactions and safety measures

The combination treatment was more effective and faster acting than standalone fumaric acid esters

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Dosing Recommendations While human clinical trial data remains limited, current evidence-based recommendations derived from animal studies and clinical experience suggest: General anti-inflammatory dosing: 200-500 mcg administered subcutaneously once daily or 500-1000 mcg twice weekly Acute injury management: Higher doses (500-1000 mcg) may be used daily initially, with tapering to maintenance doses Route of administration: Both systemic (subcutaneous/intramuscular) and local (perilesional) injections have shown similar efficacy

Exp Cell Res 175(1):184191