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Statistical analysis Statistical analyses were conducted using SPSS version 22 software

The absence of water in the city is the greatest risk for diarrhoea outbreaks

Hold the needle guard with your other hand (see Figure 5)

chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease