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Blood Cancer J 11:89 Nijhof IS, Groen RW, Lokhorst HM, van Kessel B, Bloem AC, van Velzen J et al (2015) Upregulation of CD38 expression on multiple myeloma cells by all-trans retinoic acid improves the efficacy of daratumumab

NHS B12 therapy is evidence-based for documented deficiency, using hydroxocobalamin 1mg intramuscularly with standardised protocols

For that to happen, B12 must go through multiple steps

This treatment plan allows us time to measure your skins progress and determine whether further treatments are needed (or whether you might benefit from other treatment options in the meantime)