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But you can improve your chances of going into remission and staying in remission longer by avoiding psoriasis triggers, including: Stress

This can be beneficial for individuals with malabsorption issues or those who have difficulty absorbing essential nutrients from their diet

If your high B12 is from supplements or injections, stopping or reducing the dose will allow levels to return to normal over weeks to months

Treatment is typically delivered in a series of monthly injections

The sequence structure allows the molecule to remain intact in gastric environments for extended periods, with studies reporting stability in human gastric juice for more than 24 hours [1]