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Description
It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Green et al., 2017)

Family Practice 2006;23:27985

Therefore, even though the upper limit of the laboratory reference range has changed, the lower end of the reference range remains the same

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