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1 Asymptomatic autoimmune gastritis likely precedes gastric atrophy by 10 to 20 years, followed by the onset of iron-deficiency anemia that occurs as early as 20 years before vitamin B 12 deficiency pernicious anemia

We need more evidence to know if the pills are as effective as the shots over time, though some research suggests they work, especially when it comes to sublingual supps

Vitamin B12 enhances these effects by contributing to the production of red blood cells and improving oxygen delivery throughout the body, which supports endurance and energy expenditure

Getting older

I gave her the backstory, my b12 history and what not