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Do note, pernicious anemia rarely visits alone

2011 Apr 1;589(Pt 7):1509-10

To provide protection against oxidative stress, cells have a well-developed antioxidant system that contains low- and high-molecular compounds that can inhibit the initiation of ROS formation, "intercept" free radicals (ROS scavengers), or neutralize the formation of lipid free radicals and lipid peroxides [20]

A: Weight loss rates vary depending on individual factors, but many patients begin noticing changes within the first few weeks

Your doctor will likely repeat bloodwork and may order imaging or bone marrow studies if counts remain high or symptoms worsen