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This typically involves: Intrinsic factor antibodies (highly specific for pernicious anaemia, though sensitivity is only 50%) [12] [28] Gastric parietal cell antibodies (more sensitive but less specific) Coeliac serology if malabsorption is suspected Consideration of upper gastrointestinal endoscopy in selected cases, particularly with autoimmune gastritis/pernicious anaemia NICE guidance emphasises that treatment should not be delayed whilst awaiting antibody results if clinical features strongly suggest deficiency, as irreversible neurological damage can occur

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Whenever people find it difficult to maintain adequate vitamin B12 levels, either because they have an absorption problem or follow a vegan or vegetarian diet, B12 supplements often come to their aid

Taki podzia eliminuje ryzyko przedwczesnego rozpuszczenia i znaczco zmniejsza prawdopodobiestwo chemicznej lub fizycznej degradacji substancji czynnej podczas przechowywania i transportu