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In the exposure cohort, index was defined as the date of the first systemic corticosteroid prescription or administration (whether oral or intramuscular injection) after an AD diagnosis

When administered intramuscularly, the vitamin is delivered directly into the muscle tissue and absorbed straight into the bloodstream

Intense training creates muscle damage that must be repaired for adaptation to occur

From the first reference on that page: "Previous reports that megadoses of vitamin C destroy vitamin B12 have not been supported (92) and may have been an artifact of the assay used to measure vitamin B12 levels (17)." That's fine...but I'm pretty keen to try whatever to lower my b12 so I look more like a human being again