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According to the Linus Pauling Institute at Oregon State University, pernicious anemia and B12 malabsorption are associated with a chronic inflammatory disease in the stomach, referred to as atrophic gastritis (low stomach acid)

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(2011) Distinct interactions between c-Src and c-Met in mediating resistance to c-Src inhibition in head and neck cancer

J Appl Biomed 14:235245

For someone with low B12 levels or an absorption issue, treatment may support: Healthier red blood cell production Normal nerve function Improved energy related to correcting a deficiency Better concentration Reduced weakness Overall nutritional wellness Some patients notice a difference within hours or days

Laron Z, Pertzelan A, Mannheimer S: Genetic pituitary dwarfism with high serum concentation of growth hormonea new inborn error of metabolism