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25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present

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However, the reproductive toxicity of Tripterygium wilfordii limits its clinical application, and its mechanism of reproductive toxicity is not fully understood [118]

2019;27:1826 Chinese Society of Internal Medicine, Chinese Medical Association, Wang JX, Zhang FC, Liu XQ, Tang CW, Chen LA, et al