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The term pernicious anaemia itself can lead to confusion among clinicians, because there is not always an anaemia, macrocytosis or raised mean corpuscular volume at first presentation[2]
Nat Rev Dis Primers (2017): Vitamin B12 is essential for normal nervous system function via its role in myelin synthesis and for circulatory system function through its role in red blood cell maturation in the bone marrow
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experts therefore recommend using such products only when the potential maternal benefit clearly outweighs theoretical risk and under obstetric supervision
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specialist guidance is essential
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