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Rely on Symptoms To quote NEQAS: In the event of any discordance between clinical findings of B12 deficiency and a normal B12 laboratory result, then treatment should not be delayed

[DOI] [PMC free article] [PubMed] [Google Scholar] 30.Vukojevi J, Siroglavi M, Kanik K, Kralj T, Stani D, Kokot A, et al

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Niacin (Vitamin B3) deficiency can cause pellagra , characterised by the three Ds: dermatitis, diarrhoea, and dementia