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Hepatology 51:227236 Fenves AZ, Kirkpatrick HM 3rd, Patel VV, Sweetman L, Emmett M (2006) Increased anion gap metabolic acidosis as a result of 5-oxoproline (pyroglutamic acid): a role for acetaminophen

Some things to think about include: The type of cancer being treated The specific chemotherapy agents used The presence of any gastrointestinal symptoms that may affect B12 absorption Managing Pre-existing B12 Deficiency During Treatment Patients with B12 deficiency before treatment need special care

Statements Author contributions SS: Conceptualization, Funding acquisition, Investigation, Writing original draft, Writing review and editing

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Practically speaking, our clients who are eligible for QMB (Qualified Medicare Beneficiary) ought to consider enrolling in a D-SNP plan so they can access expanded benefits