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Seeing results from vitamin B12 can take weeks to months

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Anti-CD38 antibodies CD38 is a transmembrane glycoprotein expressed at low levels on most myeloid and lymphoid cells, whereas normal and malignant plasma cells exhibit high levels of surface CD38 expression

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Immunol Rev 270:95112 Moreno L, Perez C, Zabaleta A, Manrique I, Alignani D, Ajona D et al (2019) The mechanism of action of the anti-CD38 monoclonal antibody isatuximab in multiple myeloma