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One of the primary culprits behind pernicious anaemia is the lack of intrinsic factor, a substance made by the stomach that enables the body to absorb vitamin B12 from food
Overall, PPI can affect butyric acid production by reducing the abundance of Bifidobacterium , thereby causing changes in intestinal permeability and peristaltic capacity and leading to the onset of FD
These include: Complete Blood Count (CBC) to check for better anemia Serum Vitamin B12 levels to make sure the dose is right Methylmalonic acid (MMA) and homocysteine levels to see how the body is reacting Reticulocyte count to see how the bone marrow is doing Clinical Improvement Markers We also watch for signs of improvement in how patients feel
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