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Further evaluation included normal hemoglobin A1c, normal TSH, negative HIV and syphilis serologies, normal vitamin E, and a low vitamin B6 level of 2 mcg/L (reference range 550 mcg/L)

This is consistent with a diagnosis of macrocytic anemia

This is why lyophilized (water-free) storage is much more stable than solution storage

[38] [39] Autoimmune atrophic gastritis, is localised to the body of the stomach, where parietal cells are located

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In very, very rare cases, it could be more serious, so it's good to know what to look out for