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Decreased pepsinogen I levels or a decreased pepsinogen I to pepsinogen II ratio may also be found, although these findings are less specific to PA and can be found in food-B 12 malabsorption and other forms of gastritis

Although vitamin B12 tablets are sold in large dosages well beyond the recommended dietary limit, these quantities do not guarantee that the total portion will be absorbed because sufficient amounts of intrinsic factors are also required

Its not legally available through licensed pharmacies

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According to a PubMed study, vitamin B12 deficiency can result from various factors, including poor absorption, issues with cellular delivery and uptake, and inadequate dietary intake