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Type 2 pernicious anemia It is brought on by a genetic flaw that interferes with the body's ability to transport vitamin B12 from the intestine to the bloodstream

High-Risk Profiles The threshold for testing should be lower if the individual falls into any of these categories: Age 60 or older Long-term use of metformin or proton pump inhibitors (PPIs) Strict vegetarian or vegan diet Family history of pernicious anemia or autoimmune disease Key Clinical Symptoms Neurological and cognitive: tingling, numbness, or a "pins and needles" sensation in the hands or feet

This is a complex puzzle, so it is best not to drive at all after drinking