Mr. Alvis, epoch 57, presented to his physician with notable jade, sea-sickness with intermittent diarrhea, and a sarcastic, inflated dialect. Lately, he to-boot has been experiencing a tingling passion in his toes and a passion of clumsiness. Microscopic examination of a blood scantling indicated a sunk reckon of erythrocytes, manifold of which are megaloblasts, and a sunk reckon of leukocytes, including manifold enlightened, hypersegmented cells. Hemoglobin and serum levels of vitamin B12 were adown regular. Additional tests ratify deleterious anemia.
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