"Pernicious" means "harmful" or "destructive." This type of B12 deficiency anemia can affect many body systems and cause problems in your gut, heart, and muscles
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Vegans and "patients with diseases like Crohn's and colitis as well as people with pernicious anemia are also particularly vulnerable to deficiency," added Silverstein
[13] Methionine and carnitine are present in breast milk in concentrations reflective of maternal plasma levels