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Stress can contribute to poor nutrition or impairing digestion and absorption over time, while alcohol abuse interferes with absorption in the digestive system and damages the stomach lining ( 5 ) ( 6 )

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(2) Diagnostic criteria for pernicious anaemia there must be laboratory evidence of (a) macrocytic anaemia

chloramphenicol), and concurrent iron or folic acid deficiency (13, 16)

You may benefit from B12 injections if you experience low energy, fatigue, difficulty focusing, or have a known B12 deficiency