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The presence of early erythroblasts on peripheral blood film in severe vitamin B12 deficiency may indicate a more profound disruption of bone marrow function than previously appreciated. Clinicians should consider aggressive intervention and vigilant monito...

The presence of nucleated red blood cells (NRBCs) on a peripheral blood smear in the setting of macrocytic anemia warrants prompt investigation. This finding, while rare, demands a systematic approach to differentiate between vitamin B12 deficiency, severe ...