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If you have diabetes, a thyroid disorder, take antacids, or smoke or drink too much, you may also be at risk of a B12 deficiency

Peripherally, pancytopenia is most often observed, but only 1-2 of the major cell types (erythrocytes, leukocytes, platelets) may be depressed in some cases

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If left untreated, it can also lead to neurological damage

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[PubMed] Zhang H, Tsao R