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They should rest assured that many people with pernicious anaemia have been taking doses around 1,000g per day for prolonged periods, to compensate for impaired vitamin B12 absorption, without any apparent harm

A healthcare professional can identify underlying causes such as thyroid dysfunction, iron deficiency (ferritin and full blood count), or autoimmune conditions that require targeted medical management

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"Beef and dairy cattle grazing in regions known to be deficient in cobalt, copper, and selenium should be treated with a registered therapy that treats and controls that specific mineral deficiency," Ms Krilich said