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While these effects are beneficial in specific contexts such as treating growth hormone deficiency in children, muscle wasting conditions, or severe catabolism, they create unwanted consequences when the goal is simply fat reduction

When vitamin B12 deficiency strikes early: A case of pernicious anemia with neurological features Vigneshvarprashanth Umapathy 1 , RM Subbaiah 2 1 Resident Internal Medicine, Kauvery Hospital, Tennur, Trichy, Tamil Nadu, India 2 Consultant Haemato-oncologist, Kauvery Hospital, Tennur, Trichy, Tamil Nadu, India Abstract A young girl presented with long-standing anemia, unsteady gait, generalized fatigue, and hyperpigmentation