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Causes of Pernicious Anemia The primary cause of pernicious anemia is the lack of intrinsic factor , a glycoprotein produced by the stomachs parietal cells
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Heat exposure: Do not leave the vial at room temperature longer than necessary for handling
Patients with a personal or family history of medullary thyroid carcinoma should not take these drugs
Signs you may be underdosed Zero appetite changes after 2 or more weeks at a dose that should produce noticeable effects (typically 4mg and above)
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