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MR is a 42-year-old patient who presents with vague complaints of fatigue, malaise, sore mouth, abdominal pain, and tingling of the hands and feet. Her PMH is noncontributory, and her social history includes a 24-pack-year history of smoking. Her family history includes a mother with thalassemia and a father with coronary artery disease and diabetes mellitus. MR tells you that she has decided that she will initiate her smoking cessation plan after the holiday is over. At this time, you have de
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