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Description
Both homocysteine and MMA levels can be elevated in renal insufficiency, hypovolaemia, and inherited metabolic defects.12 Although elevated homocysteine and MMA levels can aid in the diagnosis of vitamin B 12 deficiency in people with normal serum vitamin B 12 levels, there are concerns about these metabolite assays

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Findings consistent with pernicious anemia due to intrinsic factor deficiency. This structured approach provides coders with all elements needed for confident D51.0 assignment

The needle's siliconized three-facet bevel ensures smooth insertion, while color-coded hubs make it easy to identify the gauge
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