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In the next vote, on November 5, 1975, the Pulliam press again opposed the freeway, but a majority approved the plan, and Interstate 10 through central Phoenix began a long-awaited process of expansion and improvement.[327] By 1980 the Phoenix freeway system had grown to thirty-two miles, but in the meantime sprawl had continued apace and the additional miles of freeway remained congested and locked in stasis during the commuters’ rush hours.[328] Thwarting traffic engineers’ planned expansions of the system, more and more residents moved to the valley into increasingly distant subdivisions

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Consensus on the Clinical Practice of Diagnosing Vitamin B12 Deficiency The panelists agreed that the delay in the diagnosis of vitamin B12 deficiency may be explained by barriers such as the variability of symptoms, low doctor awareness of the disease, not paying attention to the patient’s symptoms, and limited access to modern laboratory markers (Table 1)