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Leukemia 29:20392049 Richardson P, Perrot A, San-Miguel J, Beksac M, Spicka I, Leleu X et al (2021) Updates from ICARIA-MM, a phase 3 study of isatuximab (Isa) plus pomalidomide and low-dose dexamethasone (Pd) versus Pd in relapsed and refractory multiple myeloma (RRMM)

It's supposedly the homocysteine coming out of the system

[DOI] [PMC free article] [PubMed] [Google Scholar] 55

Surgeries Some stomach or intestine-related surgeries can also reduce the bodys ability to absorb vitamin B12 effectively

Some research suggests potential dopaminergic system interactions
