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The neurological symptoms can occur without the presence of anemia, thus early detection is important to avoid irreversible damage

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Shah et al., 2006), and low levels of serum cobalamin is reported to be more indicative of true deficiency in bariatric surgery patients compared to healthy controls (Sumner et al., 1996)

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En cas de carence svre , un traitement intensif sur plusieurs semaines (voire plusieurs mois) est souvent ncessaire, avec des doses leves ou des injections rptes

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