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seen in ~20% of RF+ patients Pulmonary involvement : interstitial lung disease (ILD), pleural effusion, pulmonary nodules, bronchiolitis obliterans Cardiac involvement : pericarditis, myocarditis, accelerated atherosclerosis, conduction abnormalities Ocular involvement : scleritis, episcleritis, keratoconjunctivitis sicca (secondary Sjgrens), uveitis (H20.x code separately) Vasculitis : digital infarcts, skin ulceration, mononeuritis multiplex, mesenteric ischemia (severe/rare) Feltys syndrome triad : RA + splenomegaly + neutropenia associated with M05.0x codes Anemia of chronic disease
It's also important to be aware of the risks associated with a low-calorie diet, which may be part of your program
One way to get your energy back up fast is with a B12 injection
Pretty Simple B12 Vitamin Shot Treatment Frequently Asked Questions: Vitamin B12 is administered via a small injection into the muscle of the upper arm, very similar to a normal vaccination
More importantly, the freezing and thawing process can affect the homogeneity of the solution