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As with aplastic anemia, causes can be hereditary (for example, thalassemia and sickle cell anemia) or arise later in life due to other causes, such as medication use, toxin exposure, or infection

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This includes: Pernicious anemia Crohns disease or celiac disease Gastric surgery or gastrointestinal disorders For mild deficiency, starting with 1,000 mcg of Vitamin B12 weekly is common

[26] [27] It can be obtained as dark red crystals or as an amorphous red powder

In Japan and Malaysia, you can even get your B12 shots in supermarkets