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Anti-inflammatory effects were comparable to prednisolone, without the weight gain, metabolic disruption, and bone density loss caused by chronic steroid use

817 , 818 , 819 , 820 Thanks to their daily caregiving role, direct care workers are wellplaced to observe and report changes in individuals status to clinical colleagues, thereby helping to reduce the risk of emergency department visits, avoidable hospitalizations and other adverse outcomes that are especially common among people living with dementia

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Treatment consists of intramuscular injections of cyanocobalamin, hydroxocobalamin, or mecobalamin at a dose of 1,000 g daily for one week, followed by weekly injections for one month, and then monthly maintenance therapy [3]