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Additionally, some individuals have genetic variations that affect B12 metabolism

The most common adverse reactions or laboratory abnormalities leading to interruption of pemetrexed in this arm (2%) were neutropenia (12%), anemia (7%), asthenia (4%), pneumonia (4%), thrombocytopenia (4%), increased blood creatinine (3%), diarrhea (3%), and fatigue (3%)

however, existing medications have limited efficacy and potential side effects, and evidence for non-pharmacological therapies remains limited

The ultrasound will visual the size, shape and consistency of the pancreas

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