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The side effects we see in clinic are generally mild: transient injection site reaction, occasional mild nausea if starting at too high a dose, infrequent headache or lightheadedness in the first week

5 The average intake of vitamin B 12 in the United States is 3.4 mcg per day, and the recommended dietary allowance is 2.4 mcg per day for adult men and nonpregnant women, and 2.6 mcg per day for pregnant women

MPNSTs frequently occur in patients with underlying genetic conditions, notably Neurofibromatosis type 1 (NF1) , where the lifetime risk of developing MPNST ranges from 813%

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