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The diagnosis is supported by characteristic findings, including macrocytic anemia, low serum vitamin B12 levels, and abnormal results on gastroscopy or spinal MRI [5]

In contrast, potentially detrimental taxa such as norank_f__Erysipelotrichaceae and Ruminococcus_torques_group , which have been reported to be elevated in obesity 39,40,41,42 , displayed opposite correlation patterns