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Complete Blood Count (CBC) This test, when it reveals the red blood cells to be very large, can indicate megaloblastic anemia, which is caused by a B12 and/or folate deficiency (18)

Learn more about symptoms of a B12 deficiency on the NHS website

Thus, based on the growth rate, pigment production, enzyme activity, and growth on different media, the bacteria were consistent with the characteristics of rapidly growing mycobacteria, which are the majority of NTM infections reported in China

doi: 10.1016/0031-9384(95)02067-5

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