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As a doctor, theres a lot of burden on your shoulders when you are prescribing something with insufficient evidence, but the patients insist on giving it a try. With no formal approvals surrounding their use from regulatory bodies like the Drugs Controller General of India (DCGI), they are considered off-label treatments

Laboratory factors can also affect results, including assay interference (macro-B12) and variations in reference ranges between laboratories

Med Oncol 26: 170-177

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