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additional injections of vitamin B12 on the same day as pemetrexed or pralatrexate treatments as needed
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These products are not covered by insurance
For patients with genuinely adequate B12 status, the addition is unlikely to produce noticeable effects
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A lack of vitamin B12 can lead to neurological disorders such as agitation, hallucinations, changes in natural reflexes, poor muscle function, memory problems, loss of taste, and in severe cases, can cause psychiatric disorders
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