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24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

It helps produce myelin , aids in DNA synthesis for nerve cells , and maintains the energy metabolism necessary for proper nerve function

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As with any medical treatment, it's important to weigh the potential benefits against possible side effects and costs