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11 Bone marrow suppression is common and potentially affects all cell lines, with megaloblastic anemia being most common

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It overstimulates NMDA receptors in the brain, leading to an influx of calcium that can literally excite brain cells to death

[20] [21] Lifelong supplementation with a complete multivitamin and mineral supplement, as recommended by BOMSS, is widely advised in addition to targeted B12 supplementation where indicated