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Ultrasound guided fine-needle aspiration biopsy was performed and a pig-tail drainage was placed due to the cystic appearance of the formation and the lack of certain diagnosis from the non-invasive diagnostic test

particularly, damaged inner plexiform and inner nuclear layer with decreased thickness, along with complete retinal damage and decreased thickness

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Common signs of a B12 deficiency include: Feeling Constantly Tired Persistent fatigue and low energy are among the most common signs of a vitamin B12 deficiency

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All of these adverse effects were of mild intensity, and there was no evidence of cu- mulative toxic effects