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This article covers exactly what happens when you combine the two, what the clinical evidence says, and what most prescribers actually recommend to their patients

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On the contrary, Saikia et al

Workup for his anaemia revealed a marked macrocytic anaemia with anisocytosis, hypersegmented neutrophils, macro-ovalocytes and leucoerythroblastic picture on peripheral blood smear

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serotonin and other neurotransmitters may play a role, too