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Other reports, however, propose that an increase in plasma or serum MMA during pregnancy is normal and does not reflect a low vitamin B12 status and caution that serum MAA may not be a reliable biomarker of vitamin B12 status among pregnant women (Bae et al., 2015)

( D ) CD38 expression of pp65 495503 specific CD8 + T cells

Common gastrointestinal side effects include: Nausea the most frequently reported side effect, particularly during dose escalation Vomiting often linked to nausea and typically dose-dependent Diarrhoea and constipation both have been reported, reflecting altered gut motility Decreased appetite a desired therapeutic effect, but one that requires monitoring to ensure adequate nutrition Severe or prolonged vomiting and diarrhoea can lead to dehydration and, in some cases, acute kidney injury (AKI)

It is well known that nervous system dysfunction can lead to depression