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(45(1_suppl)):S40-S49 doi:10.1177/03795721241229500

More energy than a strong coffee, with steady focus for hours

The exact cause of pernicious anaemia is unknown, but it's more common in women around 60 years of age, people with a family history of the condition and those with another autoimmune condition, such as Addison's disease or vitiligo

If treatment is not appropriate that day, we will say so and recommend a safer next step