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It has been estimated that the prevalence of pernicious anemia in European countries is approximately 4% of the population ( For patients with pernicious anemia, lifelong vitamin B12 therapy is indicated

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[13] [1] Multiple sclerosis (MS) is a chronic autoimmune and neurodegenerative disease affecting the central nervous system, characterized by demyelination, axonal damage, and progressive neurological disability

Though a patient may not have as much of an appetite, getting enough calcium and other vitamins will help

Always consult a licensed healthcare professional for dose adjustments