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Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition (immune system destroys self), in this case the parietal cells of the stomach that produce intrinsic factor, a glycoprotein that binds to vitamin B12 in the stomach and is essential for normal absorption of vitamin B12 in the small intestine into the blood

Extensive workup revealed vitamin B12 deficiency secondary to pernicious anaemia

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The peptide protects gastric mucosa from damage induced by NSAIDs (non-steroidal anti-inflammatory drugs), alcohol, and stress, counteracting the pathological effects of these ulcerogenic agents

Deficiencies of B12 can manifest themselves as various symptoms

A microdose usually means less than the 0.25 mg starter, often 0.1 to 0.2 mg weekly