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Haematological symptoms typically appear first and include fatigue, weakness, and pallor due to megaloblastic anaemiaa condition where the bone marrow produces abnormally large, immature red blood cells that function poorly

doi: 10.1016/j.jcmgh.2019.08.004 49 BhatPLeggattGWaterhouseNFrazerIH

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The causes of pancytopenia range from reversible factors like infections and medication reactions to irreversible conditions

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Supports energy metabolism and red blood cell formation