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In these patients, serum cobalamin concentration may be within the reference range or even exceed B12, despite the occurrence of characteristic, mainly neurological, symptoms of vitamin B12 deficiency [5]

(ref) Seiwerth S, Sikiric P, Grabarevic Z, Zoricic I, Hanzevacki M, Ljubanovic D, Coric V, Konjevoda P, Petek M, Rucman R, Turkovic B, Perovic D, Mikus D, Jandrijevic S, Medvidovic M, Tadic T, Romac B, Kos J, Peric J, Kolega Z

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Current evidence suggests that it may influence several biological pathways involved in tissue remodeling, including nitric oxide (NO) signaling, angiogenic processes, extracellular matrix remodeling, growth factor regulation, and inflammatory responses