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All of this uncertainty is really starting to affect me

A blood test can also check for the presence of antibodies against intrinsic factor, which may indicate an autoimmune reaction

Once fully dissolved, refrigerate immediately at 28C

Chapter 22: Autoimmune diseases, Pernicious Anemia (Vitamin B12 Deficiency) PERNICIOUS ANAEMIA (PA) Definition This is megaloblastic anemia due to deficiency of vitamin B12, because of malabsorption, which is believed as an autoimmune phenomenon to gastric parietal cells and their products

148 The authors of these studies recommend that vitamin B12 status be assessed, both before and regularly after commencement of metformin treatment, 74,84,144,146 and for peripheral neuropathy to be assessed even in the absence of B12 deficiency