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Corticosteroids should be used cautiously in patients with ocular herpes simplex because of the risk of corneal perforation

While extensive animal studies exist, human data is extremely limited and lacks rigorous clinical trials

Provider Clearance Guidelines Ensure no contraindications, assess metabolic status, review cardiovascular risk factors

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Currently, the initial test for vitamin B 12 deficiency is to assess serum vitamin B 12 levels, and only when there is low normal vitamin B 12 level, metabolite assay is most often suggested.11 12 However, the consensus for vitamin B 12 threshold levels for ordering the additional tests has not yet been reached

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