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[19] Pernicious anemia [edit] Pernicious anemia is a disease caused by an autoimmune response that produces antibodies that attack the parietal cells in the stomach lining, preventing them from creating intrinsic factor needed for the absorption of vitamin B 12

Factors to Consider When Choosing Needle Size Selecting the right needle gauge and length depends on several variables, including: Patient Age and Weight Pediatric patients typically require smaller needles (higher gauge and shorter length)

The absorption rate varies, but improvements in symptoms can often be observed within a week or two of starting supplementation

Stress, fatigue and 'brain fog' as well as reduced physical stamina are common side effects of vitamin B12 being below optimal

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