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GP can find treatment info for those with and without neuro symptoms in their copy of BNF book Chapter 9 Section 1.2 Some UK areas have local B12 treatment guidelines which in some cases are very out of date

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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
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