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Takeaways It can take years to see the effects of vitamin B12 deficiency anemia

The area had about 3 days of non-hideous weather in the fall, rest of the year was either rain (often accompanied by thunderstorms, power outages, and tornadoes, all of which are extremely rare in "rainy" western WA) the awful heat/humidity of summer, or snow

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Megaloblastic anemia is a type of macrocytic anemia characterized by large, abnormal red blood cells (megaloblasts) due to impaired DNA synthesis