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Alimta with cisplatin is the most common chemo regimen for first-line pleural treatment
Appropriate sedation and analgesia are mandatory to ensure the patients comfort throughout the procedure

Geiger, B

Gastrointestinal conditions Some gastrointestinal conditions may affect how vitamin B12 is digested or absorbed, such as: history of gastrointestinal surgery celiac disease Crohns disease pernicious anemia infections, such as from Helicobacter pylori bacteria or parasites pancreatic insufficiency or cancer bowel cancer folic acid deficiency small intestinal bacterial overgrowth Vitamin B12 injections may be more helpful for people with gastrointestinal conditions than oral products

Tran et al., 2004
