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pylori infections are fairly common, and most dont result in autoimmune gastritis.[ref][ref] Autoimmune gastritis and pernicious anemia often coincide with other autoimmune diseases, including vitiligo, oral lichen planus, Addisons disease, and type 1 diabetes.[ref] How is pernicious anemia diagnosed

2) a haematologist (see NICE CKS link) In UK, patients with b12 deficiency with neuro symptoms are supposed to have more intensive treatment

doi: 10.3390/polym16060728

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Professional IM injections utilize bioactive forms including methylcobalamin and Methyl B12 that require minimal cellular conversion compared to synthetic cyanocobalamin found in most oral supplements

S.FodaT.AbdeenA.AbdoM.et al (2024)