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Other factors which can cause Pernicious Anemia and/or low B12 besides hypothyroidism Pancreatic insufficiency (when the pancreas is making le ss digestive enzymes) Gastritis (bacterial-caused inflammation which weakens the stomach lining) Stomach Removal (whether partial from Bariatric Surgery, or complete removal) Stomach cancer Active mutation of the Q5R intrinsic factor gene, plus other genes Low levels of folate aka B9 Symptoms of Pernicious Anemia From : The symptoms of pernicious anemia may include weakness, fatigue, an upset stomach, an abnormally rapid heartbeat (tachycardia), and/or chest pains

Genotype report included

Tiffany Delacruz, DVM Chief Executive Officer, RexVet 2026-06-28 14 min read Cat IBD: Diagnosis, Diet, and Treatment FL, NY & VA Vet Guide Cat IBD looks like 'just throws up sometimes' until it doesn't

Did you know, in favorable conditions like warm standing water, a single bacterium can multiply to over 16 million in 8 hours

Remember, what you put in is not necessarily what you get