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Pernicious anemia is a B12 deficiency anemia caused by the lack of intrinsic factor.[ref] What causes the lack of intrinsic factor in pernicious anemia

Nursing & Patient Tips and Precautions Vaccinating B by injection is generally safe, but nurses and patients should note: Injection technique: Use standard IM technique

This affects the blood flow necessary for the cochleas healthy function, leading to an imbalance in the inner ears fluids