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Certain health conditions such as intestinal or stomach problems, poor nutrition, cancer, HIV, pregnancy, old age, veganism, and alcoholism can cause vitamin B12 deficiency

Pernicious anemia is a type of vitamin B12 deficiency anemia, characterized by the bodys inability to absorb vitamin B12 efficiently

[DOI] [PMC free article] [PubMed] [Google Scholar] 18.Fyfe J.C

All these parameters need to be normal before initiating the treatment

Neurologic, cognitive, hematologic, or mucosal features can point to a shortfall, as can risk factors such as malabsorption, autoimmune gastritis, relevant medications, or nitrous oxide exposure