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Reperfusion can lead to acute lung injury (ALI) or acute respiratory distress syndrome (ARDS), characterized by increased vascular permeability, pulmonary edema, and inflammation [11,12]

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In treating such a clinical presentation, it is important to rule out B12 deficiency before pursuing the treatment regimen of MDS by supplementing vitamin B12 and giving enough time for the marrow to resume the proliferation of all cell lines

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