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Keywords: Fever, hemolytic anemia, homocysteine, hypophosphatemia, vitamin B12, vitamin D Introduction Nutritional deficiencies are the most common cause of anemia in the tropical countries.[1] Deficiencies of vitamin B12 and folate can cause severe anemia and cytopenias due to ineffective hematopoiesis and can sometimes mirror hemolytic anemia

This process may explain why some patients respond to methylcobalamin but NOT cyanocobalamin

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Methionine, an essential amino acid, acts as a lipotropic agent, helping to break down fats in the liver

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