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A review indicated vitamin B12 levels in the range of 46 89 pg/mL, well below the normal reference range of 233 914 pg/mL ( BM biopsy and aspiration are generally not required to diagnose megaloblastic anemia and may create diagnostic confusion in cases of severe pancytopenia
Steele, Dalton
one of these cerebella also showed an almost complete loss of Purkinje cells from the Purkinje cell layer, as well as a marked loss of granular cells
