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In the primary healthcare setting, the most commonly seen causes of vitamin B12 deficiency are related to abnormalities of digestion (atrophic gastritis, achlorhydria or the consequences of gastrectomy) or absorption (autoimmune pernicious anaemia, chronic pancreatitis, Crohns disease, the effect of medications that alter the mucosa of the ileum, or the consequences of surgical resection), and, to a lesser extent, a lack of exogenous supply

SCAR FORMATION The formation of scars consists of three basic phases, which are: Inflammatory or exudative phase The body's first response after injury is bleeding, followed by the formation of a blood clot

People needing immune system and red blood cell support

Furthermore, it is well known that it is increasing worldwide [37], this is thought to be related to the westernisation of lifestyle habits [38, 39]

B12 injections can be mildly painful for some however most patients can tolerate the discomfort well