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Results of combination chemotherapy with topotecan and high-dose cytosine arabinoside (ara-C) in previously untreated patients with high-risk myelodysplastic syndrome (MDS) and chronic myelomonocytic leukemia (CMML)

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If you are taking metformin, your healthcare provider may recommend additional vitamin B-12 supplementation, especially if you are on a high dose of metformin or if you have other risk factors for vitamin B-12 deficiency