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In fact, it is often recommended as a first-line treatment

My doctor has never tested to confirm pernicious anemia, because he says it is academic. He says he just treats the B12 deficiency, but his approach is only partially effective

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In addition, it is vital to recognize that patients with pernicious anemia will require lifelong vitamin B12 supplementation to prevent the recurrence of hematologic and neurological problems

J Zhejiang Univ Sci B 16(1):3243 Kuczynski EA et al (2016) Co-option of liver vessels and not sprouting angiogenesis drives acquired sorafenib resistance in hepatocellular carcinoma