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Problems due to lack of cell division in fast dividing tissues: Anaemia, or any cytopaenia (including leucocytes, lymphocytes, platelets) Mouth ulcers, malabsorption, diarrhoea due to macrocytosis and atrophy of the intestinal mucosa as demonstrated by Foroozan and Trier

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A related population-specific signal at FUT6 was identified in South Asian cohorts, underscoring that the genetic architecture of B12 differs across ancestries

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If its borderline (commonly 200-350 pg/mL depending on the lab), measure methylmalonic acid (MMA) or homocysteine to detect functional deficiency

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