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Acute COPD symptoms or exacerbations Dupixent should not be used to manage acute symptoms or acute exacerbations of COPD
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So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [5154]
