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The largest study of this type was published in 2023 in JAMA Internal Medicine

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At equivalent doses (0.75 mg of dexamethasone is equivalent to 5 mg of prednisone or 20 mg of hydrocortisone), dexamethasone has stronger suppressive effects on the HPAA compared with hydrocortisone

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A blood test is an indication for how much the brain might have access to B12, but if for instance the blood-brain barrier does not absorb enough B12, the brain will have too little B12, while the blood test is normal