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[19] The onset may be vague and slow and the condition can be confused with other conditions, and there may be few to many symptoms without anemia

These findings underscore the need to devise strategies to eradicate intracellular persisters, especially given the limited antibiotic options available for intracellular infections

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For that reason, an untreated pernicious anemia often leads to neurological damage, which should explain why so many patients with neurological disorders such as Alzheimer, multiple sclerosis, peripheral neuropathy, and Bells Palsy, benefit from B12 shots