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Although vitamin B12 deficiency with these classic hematologic and neurologic signs and symptoms is rare (Hughes‑Jones & Wickramasinghe SN, 1996), low or marginal vitamin B12 status (serum B12 200‑300pg/mL [148‑221pmol/L]) without these symptoms is more common (i.e., up to 40% in Western populations), especially in individuals with low intakes of vitamin B12‑rich foods (NIH, 2024)
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doi:10.1007/s10554-015-0799-3 Sillesen H, Sartori S, Sandholt B, Baber U, Mehran R, Fuster V
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