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Alternative procedures that can assist in the diagnosis of malabsorption from classic pernicious anemia arising from an autoimmune disease or from long-term atrophy or atrophic gastritis, include a combination of anti-intrinsic factor antibodies, and gastrin and pepsinogen A and C in serum (Green et al., 2017)

Most people arent going to have this surgically removed, though you could

After that, shots are given every 1-3 months

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