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Neuropathies are often part and parcel of the symptoms of pernicious anemia (also called Biemers disease) a severe form of anaemia caused by B12 deficiency

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When you swallow a B12 pill, several steps have to work for it to be absorbed: stomach acid and the enzyme pepsin must release B12 from food or the supplement, the stomach must secrete a protein called intrinsic factor that binds to B12, and the B12-intrinsic factor complex must reach the ileum (the end of the small intestine) where it is finally absorbed