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Vitamin B12 is water-soluble, so excess amounts are generally excreted in the urine

Madhubalaji CK, Rashmi V, Chauhan VS, et al

Diagnosis, treatment and prevention of nutritional Anemia in children: recommendations of the joint Committee of Pediatric Hematology-Oncology Chapter and Pediatric and adolescent nutrition Society of the Indian Academy of pediatrics

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This system rated cartilage structural integrity from 0, defined as normal to 6, defined as complete disorganization, and assessed cellularity from 0, defined as normal, to 3, defined as hypocellularity, for a total possible score of 0 to 9