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57 , 58 Cobalamin deficiency causes a decrease in hemoglobin levels, characterizing megaloblastic or pernicious anemia with manifestations that include skin pallor, decreased energy and exercise tolerance, fatigue, shortness of breath, and palpitations

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In this case, dosing is typically calculated based on the subject's body weight, often expressed in micrograms per kilogram (mcg/kg)

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7 Zinc: A systematic review on micronutrients found associations between zinc status and thyroid hormones among other trace minerals