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PARP inhibitors target cellular energy metabolism: Mechanisms of action and clinical implications

Studies published from January 1, 2002, until June 3, 2013 were included

They can assess whether supplementation is necessary, review your dietary intake, and check baseline B12 levels if deficiency is suspected

While much attention is given to B12 deficiency, known for causing fatigue, neurological changes, and anaemia, less is said about elevated B12 levels, which can be just as important to recognise 2