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It is the number one reason people discontinue treatment, reduce their doses below therapeutic levels, or fail to progress through the standard titration schedule

1 If anti-intrinsic factor results are negative but suspicion for pernicious anemia remains, an elevated serum gastrin level is consistent with the diagnosis

Moreover, alcoholics may experience reduced intestinal absorption of vitamin B 12 (2), and individuals with acquired immunodeficiency syndrome (AIDS) appear to be at increased risk of deficiency, possibly related to a failure of the IF-B 12 receptor to take up the IF-B 12 complex (3)

In this article, I will go over what blood viscosity and blood clotting are