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Left untreated, too little vitamin B12 can ultimately lead to nerve damage, ataxia (difficulty with walking and balance), pernicious anemia, heart failure, and even gastric cancer, Swenor says

The original patent documentation describes this mechanism in detail, noting that the peptide stimulates lipolysis and inhibits lipogenesis via beta-adrenergic signalling at concentrations far below those needed to activate growth-promoting pathways

Intrinsic factor antibodies and parietal cell antibodies : These tests are used to diagnose pernicious anemia or atrophic gastritis

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2.4 Monitoring Vitamin Blood Levels Blood vitamin concentrations should be monitored to ensure maintenance of adequate levels, particularly in patients receiving parenteral multivitamins as the only source of vitamins for long periods of time