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J Clin Biochem Nutr 48:2632 Packer L, Witt EH, Tritschler HJ (1995) Alpha-lipoic acid as a biological antioxidant

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notes limited highlevel evidence

Vitamin B12deficiency can manifest itself in the following clinical pictures: Hyperchromic macrocytic megaloblastic anemia (perniciosa, Biermer anemia, Addison's anemia these are disorders of the maturation of red blood cells) Funicular spinal disease [damage to the spinal cord] A vitamin B12deficiencyconfirmed by laboratorydiagnosis can occur in: Years of malnutrition and malnutrition (e.g through strict vegetarian diet)