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Blood test to determine the quantity and size of red blood cells as well as the level of vitamin B12 in the blood Schilling test to assess bodys ability of B12 absorption Biopsy of the stomach may be done to check for autoimmune gastritis, which can cause pernicious anemia These tests help to confirm the diagnosis of pernicious anemia and rule out other possible causes of anemia

Pay attention to the delivery method Liquid B12 or sublingual drops are easy to absorb and dont depend on your digestive system to work

With a half-life of 6 to 8 days, meaningful blood levels persist for approximately 3 to 4 weeks after the last injection

If a patient presents for pernicious anemia evaluation and clinicians discover coexisting hypothyroidism (E03.9), the primary diagnosis should reflect the encounters focus