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Risk factors for pernicious an anemia include: Being over the age of 60 Having a family history of the condition Having an autoimmune disorder such as pernicious anemia or autoimmune gastritis Having had gastrointestinal surgery Taking certain medications, such as proton pump inhibitors or metformin Following a vegetarian or vegan diet Having a history of alcohol abuse How can you prevent Pernicious Anemia

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However, high dose oral vitamin B12 therapy can also be effective, provided that the dose is sufficient, medication adherence is good, and a response is documented

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