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On 2/4 I returned for my 2nd dose but was refused based on my reaction as the site had no medical backup

Pernicious anemia is caused by a decrease in red blood cells when the body cant absorb enough vitamin B12, greatly raising the risk for neurological complications

In fact, the red blood cells produced when someone is deficient are larger than normal and known as macrocytosis

Common Causes of B12 Deficiency Document the cause of B12 deficiency to support the specific code : Pernicious anemia Autoimmune destruction of stomach cells Gastrectomy or weight loss surgery Loss of intrinsic factor production Strict vegetarian diet Inadequate dietary intake Crohns disease or celiac disease Malabsorption in the small intestine Chronic pancreatitis Insufficient pancreatic enzymes Bacterial overgrowth in the small intestine Bacteria consume B12 Long-term metformin use Interferes with B12 absorption Neurologic Symptoms in B12 Deficiency B12 deficiency causes nerve damage

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