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Although initial clinical assessment pointed toward a potential hematologic malignancy, comprehensive testing, including SPEP, reticulocyte count/fraction, serum folate, and serum vitamin B12, revealed only severe vitamin B12 deficiency, with a level of less than 150, with the presence of IF antibodies

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Deficiency in vitamin B12 can cause symptoms such as fatigue, weakness, numbness or tingling, memory issues, and mood changes

This framework covers the majority of research compounds but is a starting point, not a substitute for compound-specific documentation