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These reactions explain the main clinical manifestation of vitamin B12 deficiency: megaloblastic anemia and neuro-cognitive abnormalities [1,2]

11 Reports have described limited effectiveness of methylcobalamin and other vitamins, including B 12 and B 6

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1 The prevalence is 70% in Kenyan school children, 80% in East Indian preschool-aged children, and 70% in East Indian adults