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Most available prevalence data on B12 deficiency based on total serum B12 concentrations are focussed on older adults

The presence of platelets in the spleen due to cancer or severe liver diseases, leukemia, certain types of anemia, viral infections, exposure to toxic chemicals, chemotherapy drugs, excessive alcohol consumption, lack of essential vitamins, autoimmune diseases, drug reactions, bacterial infections in the blood, pregnancy can cause low blood platelets