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2022, pp

Neonatal megaloblastic anemia due to inherited transcobalamin II deficiency in two siblings

Verification with serum methylmalonic acid and/or serum homocysteine level may be necessary in asymptomatic patients with high-risk conditions, symptomatic patients with low-normal levels of vitamin B 12 (200 to 350 pg per mL), or symptomatic patients in whom vitamin B 12 deficiency is unlikely but must be excluded

Most often, patients and clinicians' primary concerns are that peptides are sourced correctly, administered properly, and are appropriate for each patient
