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Eat lots of greens, vegetables, sprouts, herbs, spices, fruits, grass-fed meat, pasture-raised poultry, pasture-raised eggs, fresh wild-caught fish and seafood, and wild game

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However, the reaction is reversible and the enzyme has a high K m value for oxalate (22 mM) 30

Neurological issues brought on by pernicious anemia include memory and concentration issues, tingling and numbness in the hands and feet, and balance issues Pernicious anemia can lead to nerve damage Pernicious anemia can lead to heart failure Pernicious anemia can lead to an increased risk of infection and cancer Birth abnormalities and pregnancy difficulties including miscarriage can result from pernicious anemia

doi:10.1016/j.clinph.2012.12.049 40

Dull-looking skin