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In the non-responders, only a small but significant increase in vitamin B12 levels was observed

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Initial blood work revealed pancytopenia with a hemoglobin (Hgb) level of 4.9 g/dL and a mean corpuscular volume (MCV) of 80 fL, a WBC count of 2.99x10 3 /L, RBC count of 1.85x10 6 /L and thrombocytopenia with a PLT count of 142x10 3 /L

The word pernicious actually means fatal, which sounds worrying this is because the condition was usually fatal to those who had it in the past, due to a lack of medical knowledge and resources throughout history
