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But because unexplained hypercobalaminemia has been consistently associated with an elevated risk of subsequent cancer diagnosis in large population studies, its one of those lab results worth following up on rather than hoping it goes away
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10.1074/jbc.M115.655019 95 SunC.PanJ.-Y.LiS.-J.LiD.-J
Five patients discontinued treatment due to lack of efficacy or unwillingness to continue
The Pernicious Anaemia Society notes this is well recognised but not fully understood
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