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Symptoms of vitamin B12 deficiency often first manifest as hematological issues, such as pernicious anemia and megaloblastic anemia, which involve enlarged red blood cells due to impaired DNA synthesis during erythropoiesis

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Phenotypic testing Phenotypic testing of the enzymatic activity of G6PD on freshly collected venous blood remains the most widely used diagnostic method and the most informative indicator of the level of enzyme function [46]

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