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The research company ISR has developed an inhaled dry powder vaccine that does not require needles of cold chains [171], and researchers at Yonsei University have developed a sublingual dissolving microneedle [172]

Conclusion This case highlights the diagnostic complexity of pernicious anemia, particularly when overlapping nonspecific symptoms and comorbidities, such as fibromyalgia, hypothyroidism, and autoimmune diseases, obscure the clinical picture and delay recognition

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For instance, in a study of 747 older men, blood lead concentration was significantly higher in those who reported total dietary vitamin C intakes averaging less than 109 mg/day compared to those with higher vitamin C intakes (216)