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Testing for intrinsic factor antibodies (highly specific for pernicious anaemia) and gastric parietal cell antibodies (more sensitive but less specific) helps confirm autoimmune aetiology

Check out this paper from 1992: If the indiscriminate dumping of industrial cyanide waste continues unchecked with the inherent risk of pollution of food and water supplies there may well come a time when more widespread chronic cyanide neurotoxicity occurs in the Western hemisphere from a dietary source in persons with a genetic or acquired error of cyanide or vitamin B12 metabolism

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