You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Low serum cobalamin and elevated serum folate levels are seen in? and explain in detail?
Low serum cobalamin seen in Blood cancer but depletion of both Vit B12 and folic acid. So, leukemia Ruled out. Celiac Sprue - Involvement of Duodenum>Jejunum>Ileum Folic acid absorption- Jejunum Vit B12 absorption - T. Ileum So, Celiac spure ruled out Bacterial overgrowth syndrome Ileum involvement Vit B12 | Bacteria produce Folate products-Folic acid | IOC: Jejunal Aspirate culture Rx: Antibiotics