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Pre-Treatment Considerations and Risks Patients often ask if they should keep taking B12 before chemo starts

peripheral vascular thrombosis Hematological : Polycythemia vera (a rare type of blood cancer) Gastrointestinal : Mild, transient diarrhea Dermatological : Itching

Cancer research has revealed that tumor cells often exhibit altered NAD+ metabolism, with some cancers showing dependence on specific NAD+ biosynthetic pathways that could be targeted researchally

Side effects are rare but may include redness or pain at the injection site, itching, and headaches

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