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They can help confirm minimal systemic exposure

Full text: Murray, M

Acute or subacute cardiotoxic effects manifest during the early treatment phases, whereas chronic systolic dysfunction develops in a dose-dependent manner [5]

Bott A, Laine J, Xicota L, Heiligenstein X, Fontaine G, Kasri A, Rivals I, Goh P, Faklaris O, Cossec JC, Morel E, Rebillat AS, Nizetic D, Raposo G, Potier MC

4.Glutamine and a-ketoglutarate as glutamate sources for glutathione synthesis in human enythrocytes

Rather than put patients lives and wellbeing at risk by giving oral B12 which they are unable to obsorb it would make sense to show patients how to self inject