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The most common include fatigue, constipation, decreased appetite, tingling in the hands and feet, impaired memory, depression, and soreness of the tongue

et al.: Methylmalonate excretion in a patient with pernicious anemia (1963) The New England journal of medicine | DOI: 10.1056/NEJM196301172680309

My internist, Sabena Toor, straddles that divide

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