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Vitamin B6 also helps produce neurotransmitters (like GABA, dopamine, serotonin) that influence mood and cognitive function, and regulates the immune response by helping inhibit proinflammatory cytokines

Symptoms of vitamin B12 deficiency often first manifest as hematological issues, such as pernicious anemia and megaloblastic anemia, which involve enlarged red blood cells due to impaired DNA synthesis during erythropoiesis

The title page provides links to CMS web pages that provide additional information and outline the basis for the 2025 reimbursement rates

Longer term though the damage will mean that the person is unable to use stores to regulate their B12 which can result in susceptibility to B12 deficiency

Some patients taking Alimta and cisplatin have experienced extended survival from receiving the duo as a second-line treatment
