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You may also be at risk if youve had bariatric surgery or have conditions like pernicious anaemia , which affect absorption

Baszkowsky 2012)

Importantly, this case underscores that up to 25% of patients with pernicious anemia may present with neurological symptoms without anemia or macrocytosis, emphasizing the need for heightened clinical suspicion and timely diagnostic testing, even when vitamin B12 levels are borderline