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In this unusual case, we present a patient with B12 deficiency who presents with severe macrocytic anemia, neutropenia, lymphocytosis, and a bone marrow morphology consistent with MDS

Yet the documented downstream effects on repair, inflammation, and vascular signalling continue for weeks beyond the last dose

Researchers continue to investigate its role in peptide-mediated signalling systems and cellular communication models under controlled laboratory conditions

May cause hypokalemia during initial treatment (monitor potassium) 3

Lab personnel should receive initial comprehensive training upon hiring and regular refresher training sessions, at least annually