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This can cause a variety of complications with seemingly disjointed symptoms

For limited or localized disease, potent topical corticosteroids remain as first-line treatment, with topical calcineurin inhibitors as steroid-sparing options, especially for sensitive areas

These injections are typically administered intramuscularly , although some protocols allow for MIC B12 injections to be administered subcutaneously or intramuscularly , depending on clinical preference

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