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Description
History of malignant neoplasms within the past 5 years before screening

Its important to regularly check how well the treatment is working and if its safe

It is most often based on the clinical symptoms together with laboratory assessment (low serum vitamin B 12 level and elevated serum homocysteine or methylmalonic acid level) and the response to treatment to make definitive diagnosis
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There are very few instances where this treatment would not be a viable option
