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Blood test to determine the quantity and size of red blood cells as well as the level of vitamin B12 in the blood Schilling test to assess bodys ability of B12 absorption Biopsy of the stomach may be done to check for autoimmune gastritis, which can cause pernicious anemia These tests help to confirm the diagnosis of pernicious anemia and rule out other possible causes of anemia

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A broad spectrum of clinical symptoms can appear neonatally, in early or late childhood, or even in the adult

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