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Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition (immune system destroys self), in this case the parietal cells of the stomach that produce intrinsic factor, a glycoprotein that binds to vitamin B12 in the stomach and is essential for normal absorption of vitamin B12 in the small intestine into the blood

Therefore, a defensible identity package should specify the E/Z configuration and include NMR, chromatographic, and mass-spectrometric evidence

Allergic Reactions In rare cases, some people may have a severe allergic reaction to ingredients in the B12 shot

This can be particularly important when youre addressing a specific concern, such as boosting your immune system during cold and flu season or increasing energy levels when you're feeling run down

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