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He shows this profoundly horrific reality without seeming predictable or didactic
The Single-Marker Problem Serum B12 measures total cobalamin in circulation both active (holotranscobalamin) and inactive forms bound to haptocorrin
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This is not simply due to supplements but also due to the widespread fortification of foods with folic acid and has been shown by some authors to lower the rates of macrocytosis in patients with proven B12 deficiency (Wyckoff)
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