"Little martial uncle, you say, I can hold on." Taoist Lin said.


    Even what smallpox and plague do not matter what is there? To tell the truth, I haven''t even seen it. How can I be afraid. Taoist Lin knew it well, as long as he didn''t associate with the erythema and other things on the patient.


    "I compared the clinical symptoms of various severe infectious diseases, and later felt that the patient had problems." Wu Mian said while smoking. "Anemia, face, fatigue, hepatosplenomegaly, skin ecchymosis, ecchymosis, diarrhea, nausea, vomiting and fever."


    "Lao Lin, what disease can you diagnose when you say this symptom?" Wu Mian suddenly asked


    "..." Taoist Lin is a little tired.


    Listen to the story. Why did you have class again? Little martial uncle is really a good teacher.


    "It was a simple symptom of vitamin B12 deficiency. At that time, everyone was blind, because the patients worked in the secret military base of Fort Detrick and thought about the leakage of biological virus. Unexpectedly, it was just vitamin deficiency."


    "Little martial uncle, this is a typical dark light." Taoist Lin said with a smile.


    "Well," said Wu Mian, "I put forward my opinions and suggestions at that time, which was questioned by many people. The patient has been fine in India for five and a half months from India to the United States. How can he come to the United States? Or malnutrition caused by vitamin deficiency."


    "Lao Lin, don''t you scold the American emperor for his low living standard?" Wu Mian said with a smile.


    "Yes, it''s impossible." Taoist Lin frowned and said, "how good the food in the United States is, and people don''t lack food. Moreover, according to what you said, it''s a military research institute or a secret level. There can''t be six dishes and one soup for each meal."


    Wu Mian shook his head and sighed, "I''m so cheap that I have to ask for medical history."


    "Isn''t this normal? When the doctor asks about the medical history, it''s right not to ask..."


    "That''s Indian!" Wu Mian glared at Taoist Lin and said fiercely.


    "..." Taoist Lin really didn''t know what the Indians had. He threw the cake in front of the little martial uncle and threw the big cake on the little martial uncle''s face?


    "It was also the guy who had just arrived at the military base of Detrick fort, so it took three days before he approved me to meet him," Wu Mian said.


    "Oh? And then?"


    "The room is full of monitors and the noise is harsh. I asked for a long time and the curry English is really uncomfortable." Wu Mian said. "Later, I looked back and studied it carefully for a long time and found that the patient was a vegetarian."


    "Vegetarian? What do you mean?"


    "It''s a vegan."


    Taoist Lin thought, indeed. Although Buddhism has declined in India, there should be a lot of yoga and vegetarianism.


    Strictly vegetarian, do not eat meat, resulting in vitamin B12


    Taoist Lin was thinking, and Wu Mian continued to say.


    "There are several types of vitamin B12 deficiency, of which insufficient intake is divided into two types. One is congenital, because pregnant women often lack vitamin B12 in their bodies due to long-term vegetarian diet, pernicious anemia, gastrointestinal surgery, etc., resulting in diseases caused by the reduction of neonatal congenital reserves."


    "The other is that the dietary structure is unreasonable: Patients with long-term vegetarian or phenylketonuria who refuse animal protein intake for a long time can cause vitamin B12 deficiency in the body."


    "There is also abnormal absorption, abnormal or missing internal factors, slow release of vitamin B12, reduced ileal absorption area, and abnormal ileal vitamin B12 binding receptor."


    "And narcotic drugs and so on."


    "I analyzed it again and thought that vitamin B12 deficiency caused by insufficient intake after the day was the most likely situation. But I can''t explain why it happened after I went to Fort Detrick base in India."


    "Yes!" Taoist Lin said, "I feel that the living conditions in India are not as good as those in the United States, except for some special circumstances. For example, he is the son of India''s richest man. By the way! Is there a congenital disease?!"


    "No." Wu Mian didn''t sell off and directly shook his head to deny Taoist Lin''s statement, "vitamin B12 is a water-soluble vitamin, which basically exists only in meat. The symptoms... Simply put, are pale skin, general fatigue, severe anemia, stupidity of the whole person, easy to fall when walking, etc."


    "I guessed at that time that when he was in India, he was not a strict vegetarian and occasionally came into contact with meat, such as insects in rice or vegetables."


    Taoist Lin pondered. He thought what little martial uncle said was reasonable.


    "A professor in Massachusetts also confirmed my statement. He guessed that insects in some vegetables and fruits in the tropics ate them directly without being found in time."


    "That''s reasonable." Taoist Lin agreed.


    "There''s a fart truth!" Wu Mian said after scolding, "I''m not sick. In order to observe the patient''s diet, I had two meals with him."


    Isn''t that normal? I didn''t deliberately eat meat, but there were insects in the vegetable leaves. I accidentally ate the insects and vegetable leaves together.


    Insect meat serves as a source of vitamin B12 to ensure that patients do not get sick. At Fort Detrick military base in the United States, all foods are strictly screened. There are no insects in vegetables and fruits, and vitamin B12 is really lacking.


    The logical chain is flawless.


    Taoist Lin looked at Wu Mian suspiciously. He didn''t know what little martial uncle meant.


    "The source of vitamin B12 is actually produced by bacteria and archaea. Eukaryotic mammalian, bird, fish and even insect cells can not really produce vitamin B12."


    "Then?" Taoist Lin looked at Wu Mian puzzled.


    "To get vitamin B12 by eating meat, especially animal viscera, is actually to eat these vitamins stored in animals. Vitamin B12 produced by bacteria is an indirect acquisition."


    "What is direct access?"


    Taoist Lin didn''t hear what Wu Mian said, so he asked.


    "Where are the most bacteria?"


    “……”


    Taoist Lin''s back was cold.


    "Excrement!" Wu Mian''s voice became cold and tried to suppress his anger.


    "Little martial uncle, did you have two meals with him?"


    "MB!" Wu Mian said foul words directly.


    "..." no wonder little martial uncle has such a complex expression. It''s true!


    Without Wu Mian''s explanation, Taoist Lin also knows what the reason is.


    Although the Indian researcher was a strict vegetarian in India, his food was contaminated by feces, so he was not short of vitamin B12 in India.


    When he went to work at Fort Detrick military base, his food was not polluted by feces, and he didn''t eat meat and animal viscera, so he got sick.


    Little martial uncle... Taoist Lin looked at Wu Mian with sympathetic eyes.


    ……


    ……


    Note: a case report in American Medical is not printed in black ~ ~ ~ Ow~~~