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However, neurological symptoms and cognitive decline can occur even in the absence of anemia (14)
Walton, C., R
[DOI] [PMC free article] [PubMed] [Google Scholar] 137.Mcgavigan ak, Murphy Kg
Oral absorption is considered too undependable to rely on in patients with pernicious anemia or other conditions resulting in malabsorption of vitamin B 12
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