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Other than that, the main causes behind this type of anemia are thalassemia, lead poisoning, and anemia caused by chronic diseases

Safety and efficacy of intravenous ultra-high dose methylcobalamin treatment for peripheral neuropathy: a phase i/ii open label clinical trial

Another mechanism that was suggested is the alteration of metformin on intestinal motility, thereby reducing the absorption of vitamin B 12 [87]

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