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Discuss your symptoms with your provider to ensure they understand how vitamin B12 affects you

A review of literature reveals several instances where vitamin B12 deficiency presents with hematological abnormalities mimicking MDS, including macrocytic anemia, neutropenia, and thrombocytopenia [3-4,6-7]

Despite this, the CD38 expression on activated NK cells is not altered by Lenalidomide treatment despite a similar reduction in Ikaros, indicating that this process is specific to MM cells compared to immune cells [100]