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If the material dissolves and the solution returns to a clear (though possibly colored) state, it might have been minor crystallization

The proposed mechanisms may involve the same binding proteins, with haptocorrin produced by some tumors and by the granulocytic response, raising the measured B12

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NHS approach to B12 deficiency: NICE Clinical Knowledge Summaries recommend investigating B12 deficiency in patients presenting with macrocytic anaemia, unexplained neurological symptoms, or risk factors including pernicious anaemia, gastrectomy, malabsorption disorders, metformin use, proton pump inhibitors, or nitrous oxide exposure