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The combination between DPI and vincristine was also synergistic but less potent

Some protocols begin with a brief intensive phase (for example, daily or alternate-day dosing) followed by a maintenance phase (for example, weekly to monthly), particularly for B12 deficiency

Common symptoms may include: Persistent tiredness or fatigue Weakness Shortness of breath Pale skin Pins and needles Difficulty concentrating Memory problems Low mood If symptoms are severe, prolonged or worsening, it is important to seek professional medical advice