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Serious adverse effects are rare

Ahmed MS, Abed M, Voelkl J, Lang F

As even moderate drinking may impair fertility, 48 women (and men) with fertility concerns should limit their alcohol use to amounts well within the moderate drinking levels defined by the 2020-2025 Dietary Guidelines for Americans

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