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Reversible causes of pancytopenia include viral infections such as Epstein-Barr virus or Parvovirus B19, certain medications, chronic alcohol use disorder, and deficiencies in vitamins or minerals such as vitamin B12, folate, or iron

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The form of cobalamin used in most nutritional supplements and fortified foods, cyanocobalamin, is readily converted to 5-deoxyadenosylcobalamin and methylcobalamin in the body