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Altered B12 handling and reduced clearance in kidney disease, and both cellular release and reduced clearance in liver disease, can raise B12, so supportive renal or hepatic findings make those causes plausible
Methotrexate may stay in your body for a longer time if you have these medical problems

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84 Research has shown both daratumumab and isatuximab treatment may induce a depletion of peripheral blood and BM NK cells via fratricide ADCC against nearby NK cells
