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A blood test can also check for the presence of antibodies against intrinsic factor, which may indicate an autoimmune reaction

Mechanisms of action Anti-CD38 antibodies exert their therapeutic effects via direct effector mechanisms on MM cells (i.e., CD38 enzymatic inhibition, direct induction of apoptosis) and through Fc-dependent immune mechanisms, including antibody-dependent cellular cytotoxicity (ADCC), complement-directed cytotoxicity (CDC), and antibody-directed cellular phagocytosis (ADCP) (Fig

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Cell 38 , 128139 (2010)

Many people complete an initial intensive phase, then either taper or move to a lighter maintenance approach based on their goals and results