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A GP or specialist can assess underlying health conditions that may increase the risk of adverse effects and can advise on licensed, evidence-based alternatives available through NHS or private prescribing pathways

Desensitisation protocol with cyanocobalamin.1 The desensitisation procedure was completed without any adverse events

One possible explanation is that low serum vitamin B12 levels would trap folate as 5-methyltetrahydrofolate, prevent the generation of methionine from homocysteine, and therefore reduce protein synthesis and lean tissue deposition

Moderating alcohol intake is recommended since excessive consumption can negatively affect Vitamin B12 levels

Social Work www.msk.org/socialwork 212-639-7020 Social workers help patients, families, and friends deal with common issues for people who have cancer