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People with pernicious anemia, may benefit from sublingual B12 as they lack intrinsic factor and have a lot of trouble absorbing B12 through their digestive system (Ankar, 2020)

A full blood count and serum B12 measurement are straightforward investigations that can help differentiate causes

The BPC-157 evaluation covered ulcerative colitis only, and the vote counts are contested across the source documents, so no tally is quoted here as primary-sourced