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Without enough B12, red blood cells can become large and irregular (megaloblastic anemia), which reduces their ability to carry oxygen efficiently

Measure group scores are then standardized to a common scale, making varying scores comparable

[DOI] [PubMed] [Google Scholar] Pennypacker 1992 Pennypacker LC, Allen RH, Kelly JP, Matthews LM, Grigsby J, Kaye K

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