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References Heffernan MA, et al

In addition, Daratumumab reduces the types of inhibitory cells in the TME of multiple myeloma, i.e., it consumes immuno-suppressive cells such as CD38 + MDSCs, Tregs, and Bregs, and enhances anti-tumor activity ( + Treg depletion and induce the proliferation and functional recovery of effector T cells ( Figure 2 )

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Requirements of Vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation

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