Diagnosis typically includes testing for anti-intrinsic factor antibodies (and sometimes anti-parietal cell antibodies)
You get it almost entirely from animal foods: meat, poultry, fish, eggs, and dairy
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Per the brand's own process description: you complete an online intake about your health history and goals, a licensed provider reviews it and decides whether treatment is appropriate, prescription options are offered when clinically indicated, and you continue with ongoing messaging and dose adjustments as your plan evolves