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24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

Heres what you can do to minimize any pain or discomfort: Dissolve the B12 in saline

But cyanocobalamin is safer and more widely used

As evidenced by the results of my annual physicals, the effectiveness associated with my addition of B12 is evident, and the low cost associated with it is a premium I am willing to pay to maintain my good health baseline