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Surgery Surgery may be the last resort when all other therapies have failed

they're unregulated, potentially impure, and lack dosage precision, posing health risks like bacterial contamination or heavy metals.[44][45][46] Unregulated online sources amplify dangers with potential counterfeits, unknown additives, or legal violations, as they're not FDA-approved and may lead to adverse effects or inefficacy.[47][48][49] Prioritize compounding pharmacies for reliable, compliant options

The elevated B12 appears to be a consequence of disease activity, likely resulting from increased production of B12-binding proteins by tumor cells or from liver involvement in the cancer process