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Pernicious Anemia Pernicious anemia, an autoimmune disease that destroys stomach cells, reduces the bodys ability to produce intrinsic factor

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This means B12 deficiency is real and underdiagnosed, but it is not universal and not everyone experiencing fatigue has a B12 problem

However, Vitamin B12 is not always adequately absorbed by the body in the digestion process, thus creating a deficiency

Amounts of Vitamin B12 that are recommended by the Food and Nutrition Board, National Academy of Science-National Research Council for pregnant women (4 mcg daily) should be consumed during pregnancy