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[244] [245] The Kennedy-led ACIP also voted to "recommend that when evaluating the need for a subsequent hepatitis B vaccine dose in children, parents should consult with health care providers to decide whether to test antibody levels to hepatitis surface antigen to evaluate adequacy of protection through serology results." [244] [245] This vote came "despite no evidence suggesting fewer doses than the standard series of three offer lifelong protection"

But in fact, the term pernicious anemia means a specific vitamin B12 deficiency caused by the loss of the bodys ability to make intrinsic factor. Intrinsic factor is in the lining of the stomach, so a weakened stomach lining (which is called atrophic gastritis can cause pernicious anemia

Some of the signs of lower B12 levels in your body include: Pale or yellow-tinged skin Weakness and fatigue Balance and coordination are affected A sensation of pins and needles Mouth ulcers Blurred or disturbed vision On rare occasions, high temperature Mood changes Rani MD Treatment of vitamin B12 deficiency often includes dietary changes, B12 shots, or supplements

However, vitamin B 12is an essential vitamin and requirements are increased during pregnancy