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The role of homocysteine in increasing the risk of hemolysis in vitamin B12 and folate deficiency has been demonstrated in vitro .[7] We postulate that the high homocysteine levels in our case may have played a role in ensuing hemolysis in addition to intramedullary destruction of RBCs

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Documentation standards including COA availability, manufacturing provenance, and lot traceability vary depending on which supplier carries the product at any given time