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Treatment Your doctor may need to screen changes in your blood levels and alter the portion of your drug on the if you have hypoadrenalism and are on glucocorticoid substitution treatment

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Placebo, ALIMTA 500 mg/m2, and investigator's choice of cisplatin 75 mg/m2 or carboplatin AUC 5 mg/mL/min intravenously on Day 1 of each 21-day cycle for 4 cycles followed by placebo and ALIMTA 500 mg/m2 intravenously every 3 weeks

Risk Factors for Vitamin B12 Deficiency Some people, including seniors, have a higher risk of vitamin B12 deficiency