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Some GPs may incorrectly believe that only patients with a definite diagnosis of PA, those with a positive intrinsic factor antibody test, require treatment for life so seem to be using this as their treatment exclusion criteria
This results in: Pale or yellowish skin tone General weakness Shortness of breath during normal activities Rapid heartbeat 6
Other risk factors for B12 deficiency are stress, excessive alcohol use, and smoking
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Most patients experience no discomfort
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