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For example, a B 12 -deficient state which causes megaloblastic anemia and which may be mistaken for classical PA may be caused by infection with the tapeworm Diphyllobothrium latum , possibly due to the parasite's competition with host for vitamin B 12

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Efficacy Does it actually work

In these situations, it remains prudent to follow-up at one month to reevaluate glycemic status considering therapeutic adjustments

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