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Ethics declarations The omission of statements pertaining to ethics approval, consent, and the availability of data and/or materials is deliberate, as they were deemed unnecessary for the present study

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And then I would point out that there seems to be something else going on regardless of the amount of B12 in the patients blood

Previous studies revealed that TP exerted therapeutic effects in RA by targeting RA-associated proteins (such as NF-B, MMP-9 and JNK), accompanied by reduced activity of FLSs and Th17 differentiation (108110)