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May 1 2022;84(4):400-409.doi:10.1097/psy.0000000000001062

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Although this seems attractive, it is not positive, because even in the early stages (which can be prolonged), there may be no hematological symptoms and standard conventional tests may come back normal without megaloblastic anemia, but we will have very serious problems later on, as we will not be free from other types of symptoms that appear later and are uncertain

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