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Kawakami Y, Ito M, Hirayama M, Sahashi K, Ohkawara B, Masuda A, et al

much of the data comes from manufacturer specifications or forums/communities

A review indicated vitamin B12 levels in the range of 46 89 pg/mL, well below the normal reference range of 233 914 pg/mL ( BM biopsy and aspiration are generally not required to diagnose megaloblastic anemia and may create diagnostic confusion in cases of severe pancytopenia