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24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

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All courses are delivered online and are suitable for practitioners already trained in intramuscular injection techniques

"Usually, we start with at least 1 gram for every kilogram of weight in protein daily because protein is very important for building and maintaining muscle mass, which is a risk that we get concerned about when patients lose weight rapidly," Dr