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Isatuximab acts through fc-dependent, independent, and direct pathways to kill multiple myeloma cells

2007;87(4):1409-1439 2 Mller TD, Finan B, Clemmensen C, DiMarchi RD, Tschp MH

Every single one of the genetic combinations she lists below should be able to tolerate B12 in the form of Hydroxy B12 (and this is why our methylation protocol suggests Hydroxy B12 as the B12 form to begin with): Folks with multiple COMT mutations tend to do very well with Hydroxy B12 (it helps mop up excess peroxynitrites which can cause problems) Folks with MTR & MTRR mutations may do well with methylcobalamin & adenosylcobalamin supplementation And Dr