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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

I have an active lifestyle

Regular or overuse of antacid medications such as proton pump inhibitors (PPIs)/ATP-ase inhibitors can negatively affect protein digestion and vitamin B12 absorption

But folic acid wont correct the other problems caused by B12 deficiency