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The cat is eating, active and has gained weight

Pernicious anaemia is caused by your immune system preventing your stomach and gut from absorbing B12 from your food

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The autoimmune basis of PA is indicated by the presence of antibodies against intrinsic factor and parietal cells, and it often coexists with other autoimmune conditions ( Due to impaired DNA synthesis, vitamin B12 deficiency presents with megaloblastic anemia, demyelinating neurological disease or both

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Blood tests show equivalent B12 status whether supplementing with cyanocobalamin or methylcobalamin at equal doses