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ISBN 978-94-007-7499-5

Patients with pernicious anaemia have a slightly increased gastric cancer risk and may require baseline endoscopy if aged 50 or over

Symptoms may include: Anemia Digestive problems or unexplained weight loss Fatigue, weakness, or lightheadedness Memory loss, confusion, or depression Rapid heartbeat or breathing Sore or bleeding mouth and tongue Excessive bruising Why Injections Are Often Preferred For those with absorption issues, injections bypass the digestive system and deliver B12 directly into the bloodstream

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Preserve methyl donors (SAM) less NNMT activity means a better SAM:SAH balance, which can steady epigenetic gene regulation
