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Likewise, autoimmune conditions that affect the stomach lining, such as atrophic gastritis or pernicious anemia, directly impact intrinsic factora protein essential for B12 absorption
Blood tests may be needed to check for unwanted effects
You can get pernicious anemia if: You have an autoimmune disease that makes your immune system attack the cells in your stomach that produce intrinsic factor, a protein that helps your body absorb B12
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