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(1) Inflammatory and autoimmune conditions have also been reported among associated causes, although the evidence is less consistent than for liver disease, renal disease, myeloid disease, and solid cancer

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When to seek medical attention: Patients should call 999 immediately for severe allergic reactions (facial swelling, breathing difficulties, widespread rash)

Atrophic gastritis, a condition that depletes stomach acid, also reduces B12 absorption

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