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Description
Pernicious anaemia , the autoimmune condition causing B12 malabsorption, may coexist with other autoimmune disorders, including autoimmune thyroid disease and, less commonly, rheumatoid arthritis
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Vegans and "patients with diseases like Crohn's and colitis as well as people with pernicious anemia are also particularly vulnerable to deficiency," added Silverstein

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If your body does not have sufficient B12, then it cannot make energy and so therefore you are weak, tired, or unfocused
