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Firstline therapy for fit patients eligible for diseasedirected therapy is Dara+CyBorD (daratumumab, cyclophosphamide, bortezomib, and dexamethasone) as initial induction therapy [22, 79]

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The FDA has not formally studied this combination in controlled trials, so evidence comes from case reports and clinical experience rather than large randomized studies

These peptides, commonly found in gluten- and casein-containing foods, may influence brain function and behavior, particularly in individuals with increased sensitivity or altered metabolic processing (Baspinar and Yardimci 2020

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