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Although local communities always knew of its existence, it was a Peruvian explorer, Juan Arias Dvila, who officially reported it in 1710

Scenario 4: Adult Osteomalacia Due to Malnutrition Patient Case: A 50-year-old female with a history of malnutrition presents with bone pain, fractures, and difficulty walking

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Conditions associated with high B12 include liver disease, renal impairment, myeloproliferative disorders, and certain malignancies

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