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Speak to a pharmacist prescriber or your GP to determine which option is most appropriate for your circumstances

In Study JMCH, incidences of Grade 3 to 4 neutropenia (38% versus 23%), thrombocytopenia (9% versus 5%), febrile neutropenia (9% versus 0.6%), and neutropenic infection (6% versus 0) were higher in patients who received pemetrexed plus cisplatin without vitamin supplementation as compared to patients who were fully supplemented with folic acid and vitamin B12 prior to and throughout pemetrexed plus cisplatin treatment

It is a distinct condition from simple dietary B12 shortfall, and it needs medical evaluation

VITAMIN INJECTIONS Vitamin injection therapy is an effective, rapid treatment designed to administer essential nutrients directly into the bloodstream, ensuring optimal absorption