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If a person has both low b12 and low iron then their red blood cells may appear to be normal sized with normal range MCV and MCH due to the effects of the iron deficiency masking the effects of the B12 deficiency

doi: 10.1046/j.1365-2044.2003.296812.x Hertz, H., Kristensen, H

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[5] In any research context it should still be framed research-use-only

Not all patients will require or tolerate this dose