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Taking B12 supplements along with B6 and folic acid can significantly lower your risk

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But of course, this will require proper clinical tests. Dr

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Testing for variants in the genes that encode TPMT and nudix hydrolase 15 (NUDT15), another enzyme involved in thiopurine metabolism, may be useful to identify patients at risk of myelotoxicity and intolerance

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Proton pump inhibitor and histamine 2 receptor antagonist use and vitamin B12 deficiency

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This can be particularly important during supply shortages or in clinics managing frequent medication preparation

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