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Therefore, according to the authors, this suggests that in general, disease-related, ongoing treatment besides treatment with anti-BCMA, daratumumab (more than once per month) and dexamethasone did not have an impact on spike protein levels. The investigators also found that relapsed/refractory myeloma patients had lower spike protein levels than newly diagnosed myeloma patients

Avoid self-administration and ensure injections are given by trained personnel

[DOI] [PubMed] [Google Scholar] 38.Xiong S., Liu Z., Yao N., Zhang X., Ge Q

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This reaction effectively diverts nicotinamide away from the NAD+ salvage pathway, reducing the cell's capacity to regenerate NAD+