An absence of intrinsic factor is the most common cause of pernicious anemia
Foods 12:3730 Platero JL, Cuerda-Ballester M, Sancho-Cantus D, Benlloch M, Ceron JJ, Peres Rubio C, Garca-Pardo MP, Lpez-Rodrguez MM, de la Rubia Ort JE (2021) The impact of epigallocatechin gallate and coconut oil treatment on cortisol activity and depression in multiple sclerosis patients
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These typically resolve as your body adapts to the peptide