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The tank was sectioned into four equal quadrants that were defined as southeast, southwest, northwest, and northeast

Therefore, there are occasions when a B12 deficiency can occur without anemia, megaloblastosis, or initial symptoms if there is a high intake of folates, which further complicates early diagnosis and can worsen symptoms, as symptoms (many of which are serious) may appear suddenly at a later stage, having been masked by the deficiency until then

Pivovarov AS, Calahorro F, Walker RJ (2019) Na+/K+-pump and neurotransmitter membrane receptors

2022 Aug 12;40(34):4964-4971

Importantly, it remains unclear whether the disease process itself may contribute to elevated vitamin B12 levels