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The neurological effects of Pernicious Anaemia are complex, and recovery is rarely straightforward

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Vitamin B12 Deficiency Causes of vitamin B12 deficiency include difficulty absorbing vitamin B12 from food, lack of intrinsic factor (e.g., because of pernicious anemia), surgery in the gastrointestinal tract, prolonged use of certain medications (e.g., metformin or proton pump inhibitors), and dietary deficiency

Sadly the NHS very rarely do the correct thyroid testing