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Identifying Symptoms of Vitamin B12 Deficiency Do you find yourself constantly feeling weak or fatigued

A rare but clinically significant manifestation is pseudo-thrombotic microangiopathy (PTMA), which closely resembles true thrombotic thrombocytopenic purpura (TTP), characterized by hemolytic anemia, thrombocytopenia, the presence of schistocytes, and elevated lactate dehydrogenase (LDH) levels [2]

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Human studies have not shown the same effect, but the family-history exclusion for medullary thyroid cancer is kept in place as a precaution