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Syra Hanif or a member of our board-certified team

14: Pearce RK, Owen A, Daniel S, et al

At high doses, a small proportion of B12 is absorbed passively through the gut lining without requiring intrinsic factor, which is sufficient to maintain adequate levels in many patients

Iron deficiency can manifest as fatigue that gets attributed to the medication itself, which is worth distinguishing from other causes

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Management At the time of writing, the only guidelines for the diagnosis and management of pernicious anaemia currently available in the UK are the British Committee for the Standards in Haematology Guidelines published in 2014[2]