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(2019) Effect of two different sublingual dosages of vitamin B(12) on cobalamin nutritional status in vegans and vegetarians with a marginal deficiency: A randomized controlled trial

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Technically, the term pernicious anemia refers to a B12 deficiency due to malabsorption caused by atrophic gastritis, due to a lack of intrinsic factor or problems with its secretion due to atrophy of the gastric mucosa, autoimmune attack against the intrinsic factor, and/or autoimmune destruction of the secretory parietal cells (as in the case of atrophic gastritis, also of autoimmune origin, which causes achlorhydria and is secondary to some autoimmune diseases that can predispose to problems in the gastric mucosa)