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First, laboratory evidence of B12 deficiency: serum B12 below 200 pg/mL or methylmalonic acid elevation

From January 2018 to June 2020, 80 single-level patients with CDH who received PPECD in our hospital were retrospectively included

lambs - 1.5-2.5 mL

Painless Procedure : During the treatment, patients may feel a warm sensation and hear a buzzing sound, but the procedure is generally painless and well-tolerated