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However, by virtue of stimulating the patient's immune white blood cells, ICI therapy sometimes causes serious side-effects that mimic autoimmune disease, including significant rash and/or inflammation of the thyroid, liver, lungs, nervous system, glandular system, heart, or other organs." The NCCN Guidelines for Patients are easy-to-understand, lay-language versions of the evidence-based, expert-consensus clinical practice guidelines used by health care providers all over the globe

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During active dose escalation, when nausea and vomiting are most common, aim for the higher end of this range

Methylcobalamin cannot be made by plants or by animals