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The concentration of homocysteine in serum may be increased also with deficiency of folic acid, vitamin B6, vitamin B2, impaired renal function, hypothyroidism, and during therapy with various drugs [54,55]

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Altogether it can be concluded that an observed elevation of cobalamin in blood merits the a full diagnostic work up to assess the presence of disease

If an erection lasts more than 3 hours, also known as a priapism, seek urgent medical care
