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The ferritin level distinguishes them

Research is absolutely needed but unfortunately many have presumptions based on how they think it works which seems to be very different for many with b12 deficiency

LATEST DEVELOPMENTS Symptoms of a B12 deficiency can take years to appear | GETTY Symptoms of a vitamin B12 deficiency can take several years to appear as the body can store B12, but megaloblastic anaemia can be a sign youve been deficient for an extended time

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Alpha-fetoprotein and hCG-producing lung oncology research models [PMID: 2433015] Laboratory literature summary: Alpha-fetoprotein and hCG-producing lung oncology research models