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“I'm sweating profusely every night, like waking up five, six times,” said De Ruyter, “I can't sleep because these toxins are just flushing.” De Ruyter, the public information officer for the Spokane Fire Department, was one of many local firefighters trying to stop the Spokane Complex fires from spreading last week

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Clinical Manifestations of Vitamin B12 Deficiency Although the classic hematologic expression of vitamin B 12 deficiency is a megaloblastic macrocytic anemia characterized by an elevated mean corpuscular volume and mean corpuscular hemoglobin, and a peripheral smear containing macroovalocytes and hypersegmented neutrophils, up to 28 percent of affected patients may have a normal hemoglobin level, and up to 17 percent may have a normal mean corpuscular volume