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Investigations typically include full blood count, serum B12 levels and, where indicated, additional tests such as methylmalonic acid, holotranscobalamin, or homocysteine measurements, particularly when serum B12 results are borderline

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Red Blood Cell Production : It plays a critical role in DNA synthesis and the formation of healthy red blood cells

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One patient was prescribed carboxymethylcellulose (CMC)-based artificial saliva only, and 1 patient was referred to a physician at the first visit