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Reasons for exclusion were previous vitamin B12 injections within 12 months before the reference date (26 cases), documented alcohol abuse (16 cases), undergoing chemotherapy or hormonal therapy for a malignancy (9 cases), and no documentation that vitamin B 12 therapy was initiated (7 cases)

The bone marrow biopsy report showed 65% cellularity with a left shift in myeloid maturation, increased erythrocyte precursors, and decreased megakaryocytes

They offer detailed insights into diagnosing and treating Vitamin B12 deficiency

With this said, we look at functional ranges which are much tighter because we are looking for functional imbalances as opposed to a clinical disease