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Although anemia is often a symptom, the condition is actually the end stage of an autoimmune inflammation of the stomach known as autoimmune atrophic gastritis, resulting in destruction of stomach cells by one's own antibodies (autoantibodies)

The bruising will be because you caught a blood vessel - nicked a vein so it has leaked a bit of blood into the surrounding tissue

10.1038/s41598-020-78426-8 [DOI] [PMC free article] [PubMed] [Google Scholar] 24.Haghighatdoost F, Bellissimo N, Totosy de Zepetnek JO, Rouhani MH

Clinically studied NAD+ is a critical molecule that is essential for cellular functionsincluding energy production, DNA repair, inflammation control, and circadian rhythm

When B12 levels are low, patients may experience fatigue, weakness, brain fog, or reduced stamina