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Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition where the immune system destroys self, in this case the parietal cells of the stomach
Alternatively, use an alcohol-based hand sanitizer if soap and water are not available
It acts as a key regulator for many bodily processes
Dosing Conversations With Adolescent Patients and Families Adolescent patients aged 12, 17 have meaningful capacity to participate in shared decision-making about their own treatment, and the AAP recommends involving them directly in pharmacotherapy discussions [19]
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