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Macrocytic anemia or other abnormalities may be the first clue to B12 deficiency

Prog Neuropsychopharmacol Biol Psychiatr 46:214

(00:22:37): So these are, its not well, you need to take a multivitamin, make sure you got a lot of folate in there, and Weve got to do better than that

Srinivasan S
