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The dermatologic evaluation revealed no jaundice, hyperpigmentation, or glossitis

Cisplatin was administered intravenously at a dose of 75 mg/m2 approximately 30 minutes after pemetrexed administration on Day 1 of each cycle, gemcitabine was administered at a dose of 1250 mg/m2 on Day 1 and Day 8, and cisplatin was administered intravenously at a dose of 75 mg/m2 approximately 30 minutes after administration of gemcitabine, on Day 1 of each 21-day cycle

It is occasionally recommended to treat fibromyalgia and chronic fatigue symptoms

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Adding B12 helps counteract low energy levels, reducing feelings of sluggishness and supporting daily activities

Nausea management strategies include eating smaller meals, avoiding high-fat foods around injection time, staying well-hydrated, and taking the injection at a time that positions peak nausea during sleep hours