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As the Pernicious Anaemia Society marks two decades as a registered charity, we are boldly declaring 2026 as This is The Year Things Change . This critical campaign is focused on shifting the narrative from rigid protocol to patient-centred treatment

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This knowledge also explains why oral B12 supplementation may be ineffective in intrinsic factor deficiency, requiring alternative routes like sublingual, nasal, or injectable B12 to bypass the intrinsic factor-dependent absorption pathway