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Although initial clinical assessment pointed toward a potential hematologic malignancy, comprehensive testing, including SPEP, reticulocyte count/fraction, serum folate, and serum vitamin B12, revealed only severe vitamin B12 deficiency, with a level of less than 150, with the presence of IF antibodies

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Before using this medication, speak with your doctor or pharmacist about your medical history, especially of low potassium, gout, blood disorders (polycythemia vera), eye disorders (Lebers disease), or other vitamin or mineral deficiencies

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