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Malabsorption (inadequate intake of vitamin B12 in the intestine) Insufficient production of intrinsic factor (a protein that is produced in the gastric mucosa and is required for the absorption of vitamin B12), Diseases in the terminal part of the ileum (part of the small intestine), eg

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When vitamin B12 is supplemented and the skin appearance deteriorates, the folic acid and biotin status in the blood should also be measured

This is an illustrative research schedule, not a prescription

Most patients describe the sensation as a brief pinch followed by mild pressure

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