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The resulting tiredness persists despite adequate rest and does not respond to early bedtimes or caffeine

doi: 10.3390/ijms23042144 6 LiuYGuRGaoMWeiYShiYWangXet al

Conclusions The publication of the 2024 NICE guidelines on B 12 deficiency represents progress but falls short by proposing to rename pernicious anaemia with autoimmune gastritis. This change does not adequately address the distinct nature of PA as an advanced stage of AIG, characterised by IF deficiency requiring lifelong B 12 treatment