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There is concern that large doses of folic acid given to an individual with an undiagnosed vitamin B 12 deficiency could correct megaloblastic anemia without correcting the underlying vitamin B 12 deficiency, leaving the individual at risk of developing irreversible neurologic damage

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B12 injection, IV therapy, or a broader plan

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a Draegar Pump and ammonia detection Draegar tubes were used to determine the presence of any hydrogen sulfide levels