However, changing the name overlooks the broader clinical context of PA, which is not just an issue of anaemia but rather a condition characterised by the autoimmune-mediated destruction of parietal cells leading to IF deficiency and lifelong B 12 malabsorption [1]
The water's clock started at first puncture, and the mixed vial inherits whatever is left of it
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But because unexplained hypercobalaminemia has been consistently associated with an elevated risk of subsequent cancer diagnosis in large population studies, its one of those lab results worth following up on rather than hoping it goes away
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For example, hydroxocobalamin (a form of B12) is retained in the liver and blood longer than other forms, so it is often given every 2 to 3 months [7] [2]