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They may have to determine if the interaction is worth the benefit of using both drugs or if your therapeutic plan needs to be changed

Scientists have found associations between low Vitamin D3 levels and increased risk of infections, autoimmune conditions, and mood disorders including depression and anxiety

10.1186/s13018-019-1242-6 86 PetekM.SikiricP.AnicT.BuljatG.SeparovicJ.Stancic-RokotovD.et al (1999)

NMO is an autoimmune condition that attacks the optic nerves and spinal cord, causing vision loss, weakness, and symptoms that mirror MS so closely that even specialists sometimes need additional testing to separate the two