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While timely reperfusion remains the cornerstone therapeutic intervention, paradoxical reperfusion injury frequently manifests as blood-brain barrier (BBB) disruption, cerebral edema, and exacerbated neuronal damage (Guo et al., 2016), critically impacting patient prognosis

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What is the management plan for an elderly adult patient with macrocytic anemia (elevated MCV of 107) who is currently receiving Vitamin B12 (B12) injections?