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Following the removal of duplicates and excluding studies based on the eligibility criteria, a total of 5 case series and 22 case reports remained, which were considered for this systematic review [7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]

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In these patients, serum cobalamin concentration may be within the reference range or even exceed B12, despite the occurrence of characteristic, mainly neurological, symptoms of vitamin B12 deficiency [5]