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Several coexisting conditions may falsely lower serum B 12 levels, including oral contraceptive use, multiple myeloma, pregnancy, and folate deficiency

**Alcoholism:** To prevent or treat vitamin B deficiencies in individuals with chronic alcoholism

& Manning, B

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Storms in 2015 and 2016 killed more than a dozen people and swamped parts of the 500 year floodplain an area that according to previous models had only a 0.2 percent chance of flooding in a given year