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But in fact, the term pernicious anemia means a specific vitamin B12 deficiency caused by the loss of the bodys ability to make intrinsic factor. Intrinsic factor is in the lining of the stomach, so a weakened stomach lining (which is called atrophic gastritis can cause pernicious anemia

Spray in mouth and hold for 30 seconds before swallowing

It is not approved by major health authorities for medical use, and its safety, dosage, and long-term effects are not well established

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In summary, making B12 therapy better is a detailed job that focuses on the patient