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Mast cells are now thought to also play a pathogenic role in the condition.[ref] Researchers have found that the average prostaglandin D2 levels (an indicator of mast cell activation) are higher in people with rheumatoid arthritis than in healthy controls.[ref] Related article : Rheumatoid arthritis genes Mast cells may play a role in obesity and diabetes: It has been known for a while that obesity is linked to increased systemic inflammation

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L.BartoliN.ToffanelloG.RagghiantiB.et al (2012)

Usually, the recommended dose is one capsule per day

If B12 deficiency is suspected, well confirm it with appropriate laboratory testing