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Pernicious Anemia: This is an autoimmune disorder where the body mistakenly attacks a protein in the stomach called "intrinsic factor." Without this protein, you simply cannot absorb B12 from food, making injections a lifelong necessity

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This knowledge also explains why oral B12 supplementation may be ineffective in intrinsic factor deficiency, requiring alternative routes like sublingual, nasal, or injectable B12 to bypass the intrinsic factor-dependent absorption pathway

Vitamin B12 is essential for energy production, healthy red blood cell formation, and optimal neurological function