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Pernicious anemia is a lifelong condition requiring ongoing B12 injections (typically monthly after the initial loading doses)

It is present in virtually every cell, with the highest concentrations in the liver, immune cells, and the lens of the eye

It works by imitating the actions of a gut hormone known as GLP-1 and reducing blood glucose levels after eating, reducing glucose production in the liver, and slowing the movement of food out of the stomach

This is particularly visible under the area of the lower eyelids

Patients often suffer from chronic LBP that may radiate to the buttocks or legs, impairing daily activities