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By month's end, expect three to six pounds of weight loss depending on starting weight and caloric deficit achieved

That preclinical record is why clinicians and athletes took notice

Importantly, this case underscores that up to 25% of patients with pernicious anemia may present with neurological symptoms without anemia or macrocytosis, emphasizing the need for heightened clinical suspicion and timely diagnostic testing, even when vitamin B12 levels are borderline