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The BNF and product information advise monitoring potassium levels in patients with severe deficiency during initial treatment

Pernicious anaemia is caused by a deficiency in vitamin B12, due to atrophic gastritis, an autoimmune condition (immune system destroys self), in this case the parietal cells of the stomach that produce intrinsic factor, a glycoprotein that binds to vitamin B12 in the stomach and is essential for normal absorption of vitamin B12 in the small intestine into the blood

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Laboratory findings of markedly elevated B12 levels discovered incidentally should prompt GP review, particularly if you are not taking supplements