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These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel

Aberrant regulation can result in either loss of a specific cell type or uncontrolled cell proliferation, leading to tumors

Olivo J, Gordon GG, Rafii F, Southren AL