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Elevated Serum Vitamin B12: Causes, Workup, and Clinical Meaning A patient comes in after routine blood work, and the report flags a serum vitamin B12 of 1,250 pg/mL

Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis

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Our complete tour package includes: airport transfers, 4 nights of accommodation (2 in Arequipa, 1 in Colca, 1 in Puno), all breakfasts, lunches on days 2, 3, and 4, city tour in Arequipa , visit to the Santa Catalina Monastery , excursion to Colca Canyon with a condor lookout , tour to Uros and Taquile Islands on Lake Titicaca , professional bilingual guides, private transportation, and all entrance tickets to archaeological sites and natural reserves