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Although some investigators have advocated the measurement of serum holo-transcobalamin II as a theoretically better measure of active vitamin B12, its clinical superiority has not been established, and holo-transcobalamin II assays are technically difficult to perform (129
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erythroctyes, haemoglobin or myoglobin), then the urine may be discoloured and described as raspberry, or cherry-red
Even with normal absorption efficiency, low intake creates deficiency risk
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