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These proteins included extracellular vesicle interleukin-2 (EV IL2) and cathelicidin antimicrobial protein (CAMP) which were elevated, while immunoglobulin lambda variable 1-47 (IGLV1-47), cartilage acidic protein 1 (CRTAC1), leucine-rich alpha-2-glycoprotein 1 (LRG1), insulin-like growth factor 1 (IGF1), and tubulin alpha-1 (TUBA1) were decreased relative to healthy controls

Microbiol Res

Negative recommendation: PCAC advises against inclusion, though this would not necessarily be the final word the FDA can still act independently

Alternatives to an intramuscular injection are: Oral Vitamin B12 at a dose of at least 1000mcg per day