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[66] Lower starting doses and smaller dose increments should be considered for older patients, who may be more prone to adverse effects
The intensity of this response can vary widely depending on the person
Joint discomfort associated with B12 supplementation is uncommon and not listed amongst the recognised adverse effects in the Summary of Product Characteristics (SmPC) for licensed B12 preparations or in the British National Formulary (BNF)
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Immune Modulation at the Maternal-Fetal Interface Research has demonstrated that hCG modulates immune responses at the maternal-fetal interface through epigenetic mechanisms specifically, hCG inhibits CXCL10 expression in human endometrial stromal cells by enhancing EZH2 expression and inducing H3K27me3 histone methylation at the CXCL10 promoter, thereby suppressing T cell recruitment to the implantation site
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