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In pernicious anemia, antibodies form and begin to attack certain parts of your stomach, rendering it ineffective in absorbing vitamin B12

Vitamin C and some supplements may interfere with certain laboratory tests depending on timing and assay method

For IM injections, a 22 to 25 gauge needle is typically used

Laboratory tests showed severe pancytopenia, with the following results: hemoglobin (Hb): 3.3 grams per deciliter (g/dl), white blood cell (WBC) count: 1.72 10 9 /L, platelet count: 28 10 9 /L, mean corpuscular volume (MCV): 100 femtoliters (fL), and absolute neutrophil count (ANC): 1.07 per microliter of blood (muL)