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Neither compound has a clear superiority in clinical outcomes the choice is typically guided by physician preference, patient convenience, and regulatory context at the time of prescribing

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In the short term, inflammation is beneficial because it helps protect damaged tissues and initiate healing

Homocysteine, methylmalonic acid, and/or holotranscobalamin levels as well as a CBC may also be repeated

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[21] In severe cases, the anemia may cause congestive heart failure