10.1016/j.lpm.2023.104174 7 BarnesP
Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition (immune system destroys self), in this case the parietal cells of the stomach that produce intrinsic factor, a glycoprotein that binds to vitamin B12 in the stomach and is essential for normal absorption of vitamin B12 in the small intestine into the blood
Furthermore, the providers need to check the patient's medical record to verify that the injection is medically necessary, distinct from other procedures on the same day, and administered by a qualified professional
Patients with active cancer, pregnancy, or specific vascular conditions may not be candidates
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