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Current British Society of Gastroenterology guidance suggests considering a baseline upper GI endoscopy with biopsies in adults aged 50 or over with confirmed pernicious anaemia to document autoimmune gastritis
Conditions such as atrophic gastritis, which are prevalent among seniors, further impair the bodys ability to absorb nutrients effectively
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In the UK, pernicious anaemia is typically treated with intramuscular hydroxocobalamin injections, though high-dose oral supplements may be considered in some cases under clinical supervision