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While the condition is the major cause of poor vitamin B 12 status in the elderly population, it is usually associated with atrophic gastritis, a chronic inflammation of the lining of the stomach that ultimately results in the loss of glands in the stomach (atrophy) and decreased stomach acid production (see Atrophic gastritis)

Complete Blood Count (CBC) : Can show anemia or large red blood cells (macrocytosis) characteristic of B12 deficiency [*]

To continue the analogy, a localized injection is like lowering that same repair crew onto the balcony of the damaged room with a helicopter

Will I have to go under general anesthesia

The CAS registry number 137525-51-0 and PubChem CID 9941957 are the canonical chemical identifiers