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In addition, other conditions like folate deficiency, myelodysplastic syndromes (MDS), hypothyroidism, and chronic alcoholism can lead to macrocytic anemia and pancytopenia, making the diagnostic process more complex [7,8]
Furthermore, decreased bacterial richness has been linked to high carbohydrate 73 and high-fat/low-protein concentrations 74 , as found in the lean and Western diets, respectively, the latter result only in old-aged rats 74
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