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Patients with pernicious anaemia may therefore experience joint symptoms related to concurrent autoimmune conditions rather than the B12 deficiency itself

You have atrophic gastritis, an inflammation of the stomach lining

As the nerves heal, their ability to transmit accurate signals to the cardiovascular and gastrointestinal systems improves, leading to a reduction in orthostatic intolerance, nerve pain, and autonomic instability

Along these lines, HIV infected macrophages were shown to enter the brain and secrete neurotoxic CatB, triggering premature senescence, ferroptosis and FIN (Gondi and Rao, 2013

Lojo et al., 2016