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This is because healthy levels of B12 can lower homocysteine
doi:10.3945/ajcn.2008.26947A 36
"Living with Pernicious Anaemia and Vitamin B12 Deficiency" by Martyn Hooper Has several case studies
PMR patients can get some relief with low-dose corticosteroids like prednisone as well as ibuprofen and other non-steroidal anti-inflammatory over-the-counter drugs
