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However, risk factors include: a family history of pernicious anemia a family history of other autoimmune disorders, such as vitiligo and Addisons disease being female older age Pernicious anemia is a common cause of vitamin B12 deficiency

How B12 Works and Why Seniors Are Vulnerable Vitamin B12 (cobalamin) is a water-soluble nutrient essential for red blood cell formation, DNA synthesis, and maintaining the myelin sheath that insulates and protects nerves

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Neither is a substitute for real medical evaluation of persistent fatigue