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However, the most common dermatological manifestation is hyperpigmentation [2], which often occurs in combination with systemic findings, including macrocytic anemia, pancytopenia, and subacute combined degeneration of the cord (SCD) [3]

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Supplements We recommend discussing vitamin B12 and/or folate supplements with a health care professional before starting supplementation

Red blood cell production : It plays a key role in the formation of red blood cells , helping prevent anemia

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