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When someone arrives with a significant deficiency, their stores are low, their red blood cells may be enlarged (macrocytosis), and, in longstanding cases, nerve function can be affected
Optokinetic nystagmus: Viewing an optokinetic drum or video will elicit nystagmus (e.g., using this YouTube video to provide an optokinetic strip)
Occurring naturally in food, methylcobalamin and adenosylcobalamin work together in the body to provide most of the Vitamin B12 needed by an otherwise healthy person
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