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The stomach makes something like this to protect the lining of the gut and fix it when it is damaged

Problems arise when: Stomach acid is low Intrinsic factor is reduced Diet lacks B12-rich foods Medications interfere with absorption Autoimmune diseases disrupt stomach function A common autoimmune condition called pernicious anemia prevents your body from producing intrinsic factor and is a frequent medical reason for deficiency

Skipping that narrative detail causes an automatic denial on the drug line

Allogenic Stem Cell Transplantation While conventional therapies are focused on improving longevity and quality of life, they do not provide a permanent cure to Beta thalassemia major