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Blood Tests Complete blood count (CBC): Shows macrocytic anemia Peripheral blood smear: Large red blood cells Serum vitamin B12 levels Specific Diagnostic Tests Intrinsic factor antibody test Parietal cell antibody test Serum methylmalonic acid (MMA) Homocysteine levels Additional Tests Bone marrow examination (rare cases) Treatment of Pernicious Anemia Pernicious anemia requires lifelong vitamin B12 replacement therapy
In clinical protocols it is titrated stepwise (escalation every 4 weeks) to minimise GI side effects
It has been studied mainly for telomere and cellular-aging biology, including a proposed association with telomerase activity
however, this may change
For most people in the UK, the NHS is the natural and trusted starting point for any medical concern, and B12 injections are no different
For example, a more stable and highly orally available form of BPC-157 known as BPC157 arginate has recently been developed
