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The evidence supports a limited association, not broad screening based on B12 alone

11 Bone marrow suppression is common and potentially affects all cell lines, with megaloblastic anemia being most common

Coverage is also required if deemed medically necessary for children under Medicaids Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit

Elevated cAMP leads to activation of protein kinase A, which regulates key enzymes involved in triglyceride breakdown