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This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

M., & Olin, J

Most individuals obtain sufficient B12 from a balanced diet containing meat, fish, dairy products, and fortified foods

Growth hormone and growth hormone secretagogue effects on nitrogen balance and urea synthesis in steroid-treated rats

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