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Persistently high readings without supplements can indicate liver, kidney, blood, or inflammatory conditions, so followup evaluation may be recommended
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doi: 10.1016/j.cellsig.2018.02.006 33 DewhurstJALeaSHardakerEDungwaJVRaviAKSinghD
Clinical findings might include possible pernicious anaemia or neuropathy including subacute combined degeneration of the cord
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