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In: Anavex press release

When present, the hematologic manifestations of vitamin B12 deficiency include macrocytic anemia with macro-ovalocytes and macro-erythrocytes (or macrocytes), hypersegmentation of neutrophil nuclei, variable polychromasia, neutropenia, and megaloblastic changes in the bone marrow

Gharibpoor F, Ghavidel-Parsa B, Sattari N, Bidari A, Nejatifar F, Montazeri A

This form is stable for shipping and long-term storage in a freezer

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If ultrasound findings suggest there are gallstones in the common bile duct, an imaging test called magnetic resonance cholangiopancreatography (MRCP) may be used for confirmation (Jones, Ghassemzadeh 2018)