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Description
What to expect: Side effects resolving for most people by weeks 12 through 14

Although CD38 mAbs inhibit the proliferation and survival of MM cells, there are substantial side effects on antitumoral NK cells

Regulation of SIRT 1 mediated NAD dependent deacetylation: A novel role for the multifunctional enzyme CD38

In addition, certain medical conditions and medications can cause vitamin B12 deficiency (30)

Good overall health to withstand surgery
Alcohol Effect: Chronic alcohol use may reduce absorption and utilization of B vitamins