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Une chimiothrapie adjuvante (cisplatine ou carboplatine) est administre aprs le traitement dfinitif pour rduire le risque de rcidive

Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )