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These approaches require medical procedures and carry higher costs and risks

Blood tests before each cycle check for bone marrow suppression and liver and kidney function to determine if dose adjustments are needed

Vitamin B12 will be given as an injection starting 1 week before treatment and subsequently once every three cycles

These side effects include: Headaches Chest tightness Euphoric feelings Palpitations Dizziness Nasopharyngitis Cough Fatigue These side effects were seen in obese people who were taking this medication